Communications between the ciliary and retinal circulations have been described in association with central retinal artery occlusion,1,2 meningioma of the optic nerve,1 and op-tic disc drusen.3 We examined a patient with angioid streaks and pseudoxanthoma elasticum who had a congenital communication between cilioretinal and retinal arteries.
Report of a Case.
A 35-year-old woman was examined for decreased vision in the left eye. Her best-corrected visual acuity was 20/20 OD and 20/200 OS. Results of a slit-lamp examination were normal and intraocular pressures by applanation tonometry were 14 mm Hg bilaterally. Ophthalmoscopy disclosed bilateral angioid streaks with associated peau d'orange pigmentary change. In the right eye, a cilioretinal artery coursing inferior and then temporal to the fovea communicated directly with a superotemporal branch retinal artery (Figure 1). Fluorescein angiography confirmed that angioid streaks were present (Figure 2). It showed retrograde filling of the cilioretinal artery from the superotemporal
Khairallah M. Congenital Communication of Cilioretinal and Retinal Arteries Associated With Angioid Streaks. Arch Ophthalmol. 1997;115(10):1328-1329. doi:10.1001/archopht.1997.01100160498023