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Journal of Ophthalmology
Volume 2009, Article ID 248269, 2 pages
Case Report

Undiagnosed Patent Foramen Ovale Presenting as Retinal Artery Occlusion—An Emerging Association

Department of Ophthalmology, North Middlesex University Hospital, Sterling Way, London N18 1QX, UK

Received 14 June 2009; Accepted 11 September 2009

Academic Editor: Eric Eggenberger

Copyright © 2009 Hiten G. Sheth et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To report patent foramen ovale (PFO) as the cause of retinal artery occlusion in a young and previously fit male and discuss the appropriate medical and surgical management options. Methods. Interventional case report with serial fundus photographs of an 18-year-old male presenting to the eye casualty with sudden onset left visual loss. Results. Visual acuities were 6/24 left and 6/4 right with a left afferent pupillary defect. Slitlamp examination confirmed a left hemiretinal artery occlusion and subsequent cardiology review with transoesophageal echocardiography revealed patent foramen ovale which was closed surgically. Conclusions. PFO is not uncommon and is often covert but predisposes individuals to embolic events. These events may be ophthalmic with visual sequelae and so ophthalmologists, physicians, and other healthcare personnel should be aware of this important and emerging association.