Superotemporal Arcade Research Articles

Treatment of retinoblastoma with the transscleral diode laser

PURPOSE: To report a case of retinoblastoma successfully treated by contact transscleral photocoagulation with a diode laser. METHODS: In an 18-month-old girl, a small (6.6 × 4.3 × 3.2-mm) discrete retinoblastoma anterior to the superotemporal arcade in the right eye was treated with transscleral photocoagulation using a diode laser (810 nm) and a fiberoptic probe. RESULTS: The tumor regressed after photocoagulation, leaving a pigmented chorioretinal scar. There was no regrowth of the tumor 12 months after photocoagulation. CONCLUSION: Contact transscleral photocoagulation with a diode laser may be a viable new treatment for small retinoblastoma.

Branch Retinal Artery Occlusion Associated With Directional Coronary Atherectomy After Percutaneous Transluminal Coronary Angioplasty

To report a case of branch retinal artery occlusion after atherectomy. A 51-year-old man complained of visual loss in the right eye after directional coronary atherectomy, performed secondary to a complicated percutaneous transluminal coronary angioplasty. He underwent a full ophthalmologic examination, including fluorescein angiography and Doppler ultrasound. Visual Acuity was 20/30 with an inferior scotoma present in the right eye. There were three Hollenhorst plaques present inside the superotemporal vascular arcade. There is a small but definite risk of retinal microinfarctions after atherectomy.