PREPAPILLARY VASCULAR LOOP IN A GIRL WITH VENTRICULAR SEPTAL DEFECT – CASE REPORT
Keywords:
optic nerve, papilla, congenital abnormality, vascular loopAbstract
A prepapillary vascular loop is a congenital variant of normal retinal vessels that is present on and/or around the optic disc. It is a rare vascular entity, with a prevalence of 1:2000 to 1:9000 eyes.
The aim of this paper was to describe a case of a 10-year-old girl in whom a unilateral prepapillary vascular loop was observed during a routine ophthalmological examination. Because of the anamnestic data of congenital heart anomaly, we performed a literature search of data available in several major medically relevant databases, but we did not come across another case where correlation of these two conditions was made. Considering that, this is the first case, known to us, where the following are present in the same patient: prepapillary vascular loop, eyelid ptosis and ventricular septal defect. A larger number of such patients is needed to draw a conclusion whether it is a systemic syndrome or a coincidental simultaneous presentation of multiple entities in the same patient.
References
Akaiwa K, Mitamura Y, Katome T, Semba K, Egawa M, Naito T. Prepapillary vascular loops complicated by suspected macroaneurysm rupture. Case Rep Ophthalmol Med 2014; 2014: 157242. doi: 10.1155/2014/157242.
Wygnanski-Jaffe T, Desatnik H, Treister G, Moisseiev J. Acquired prepapillary vascular loops. Arch Ophthalmol 1997; 115(10): 1329-1330. doi: 10.1001/archopht.1997. 01100160499024.
Cohen SY. Acquired prepapillary arterial loop after central retinal artery obstruction. Arch Ophthalmol 1998; 116(10): 1398-1399. doi: 10.1001/archopht.116.10.1398.
Mansour AM, Kozak I, Saatci AO, Ascaso FJ, Broc L, Battaglia M, et al. Prepapillary vascular loop-a new classification. Eye (Lond) 2021; 35(2): 425-432. doi: 10.1038/s41433-020-0859-3.
Romano PE. Prepapillary vascular loops. Clin Exp Ophthalmol 2001; 29(2): 90-91. doi: 10.1046/j.1442-9071.2001.d01-13.x.
Liebreich R. Demonstration of disease of the eye. Trans Pathol Soc London 1871; 22: 221-224.
Mireskandari K, Aclimandos WA. Probably the longest prepapillary loop in the world. Retina 2001; 21(4): 393-395. doi: 10.1097/00006982-200108000-00023.
Shakin EP, Shields JA, Augsburger JJ, Brown GC. Clinicopathologic correlation of a prepapillary vascular loop. Retina 1988; 8(1): 55-58. doi: 10.1097/00006982-198808010-00010. PMID: 3406545.
Mann I. Developmental Abnormalities of the Eye, 2nd ed. Philadelphia: JB Lippincott, 1957; 133-6.
Teramoto S, Ohno-Matsui K, Tokoro T, Ohno S. Bilateral large peripapillary venous and arterial loops. Jpn J Ophthalmol 1999; 43(5): 422-425. doi: 10.1016/s0021-5155(99)00100-8.
Degenhart W, Brown GC, Augsburger JJ, Magargal L. Prepapillary vascular loops. Ophthalmology 1981; 88(11): 1126-1131. doi: 10.1016/s0161-6420(81)34894-5.
Limaye SR, Tang RA, Pilkerton AR. Cilioretinal circulation and branch arterial occlusion associated with preretinal arterial loops. Am J Ophthalmol 1980; 89(6): 834-839. doi: 10.1016/0002-9394(80)90175-0. PMID: 7386562.
Misra A, Flanagan DW, Martin KR. Recurrent transient visual loss due to intermittent occlusion of a prepapillary vascular loop. Br J Ophthalmol 2008; 92(3): 431-432. doi: 10.1136/bjo.2007.124073.
Codenotti M, Fogliato G, De Benedetto U, Iuliano L, Bandello F. Simultaneous vitreous hemorrhage and branch retinal artery occlusion after prepapillary arterial loop rupture. J Fr Ophtalmol 2013; 36(4): e63-e65. doi: 10.1016/j.jfo.2012.07.005.
