Retinal Arterial Atheromata
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68-year-old woman. I did get her medical records from her doctor at the Naval Ambulatory Care Center and I have records going back to 2003, which clearly document retinal arterial plaques in both eyes. The patient did recount that while I was talking to her that the plaques in the retinas have been noted for some time. She is having some difficulty reading scores on the television set and came to see you because of that and there is concern about her cataracts. You saw the retinal problems and suggested she come in here for evaluation. She does have a history of high blood pressure and high cholesterol. She is not diabetic. She does have a history of stroke.
VISUAL ACUITY: OD 20/40, OS 20/20. IOP: OD 17, OS 12.
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is posterior vitreous separation. There are patchy retinal arterial atheromata along the inferotemporal and a few along the inferonasal branch retinal artery. There were no occlusions or hemorrhages.
OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation. Again, there are a few atheromata along the inferotemporal branch retinal artery. There is a chorioretinal scar in the inferotemporal periphery.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows patent retinal vasculature throughout.
OCT SCAN: Shows minimal retinal atrophy inferiorly in both eyes.
IMPRESSION:
1. RETINAL ARTERIAL ATHEROMATA – BOTH EYES
2. POSSIBLE PREVIOUS RETINAL VASCULAR INCIDENT – BOTH EYES
DISCUSSION: I explained to the patient that she does have deposits in the retinal arteries in both eyes, which look to be cholesterol calcium deposits, but they are yellow and on the walls of the retinal vessels. Her visual field does show defects superiorly, which correspond to the areas of atheromata inferiorly and I suspect what has happened here is she has had either an occlusion or hypertensive episode, or something which damaged the branch retinal arteries inferotemporally in both eyes and have left her with these calcium deposits along the vessel walls, which are chronic.
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Retinal Arterial Atheromatavista 576 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes. 
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Retinal Arterial Atheromatavista 711 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 562 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 774 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 512 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 517 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 500 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 487 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 488 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Arterial Atheromatavista 508 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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68-year-old woman. I did get her medical records from her doctor at the Naval Ambulatory Care Center and I have records going back to 2003, which clearly document retinal arterial plaques in both eyes. The patient did recount that while I was talking to her that the plaques in the retinas have been noted for some time. She is having some difficulty reading scores on the television set and came to see you because of that and there is concern about her cataracts. You saw the retinal problems and suggested she come in here for evaluation. She does have a history of high blood pressure and high cholesterol. She is not diabetic. She does have a history of stroke.
VISUAL ACUITY: OD 20/40, OS 20/20. IOP: OD 17, OS 12.
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is posterior vitreous separation. There are patchy retinal arterial atheromata along the inferotemporal and a few along the inferonasal branch retinal artery. There were no occlusions or hemorrhages.
OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation. Again, there are a few atheromata along the inferotemporal branch retinal artery. There is a chorioretinal scar in the inferotemporal periphery.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows patent retinal vasculature throughout.
OCT SCAN: Shows minimal retinal atrophy inferiorly in both eyes.
IMPRESSION:
1. RETINAL ARTERIAL ATHEROMATA – BOTH EYES
2. POSSIBLE PREVIOUS RETINAL VASCULAR INCIDENT – BOTH EYES
DISCUSSION: I explained to the patient that she does have deposits in the retinal arteries in both eyes, which look to be cholesterol calcium deposits, but they are yellow and on the walls of the retinal vessels. Her visual field does show defects superiorly, which correspond to the areas of atheromata inferiorly and I suspect what has happened here is she has had either an occlusion or hypertensive episode, or something which damaged the branch retinal arteries inferotemporally in both eyes and have left her with these calcium deposits along the vessel walls, which are chronic.
