The spectrum of amalric triangular choroidal infarction

Julia Nemiroff, Nopasak Phasukkijwatana, Veronika Vaclavik, Aaron Nagiel, Eric Holz, David Sarraf

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Purpose: To describe the multimodal imaging findings, including optical coherence tomography angiography analysis, and spectrum of etiologies associated with Amalric triangular choroidal infarction. Methods: This study is a multicenter, retrospective, observational case series review of the clinical and multimodal imaging findings for six patients with Amalric triangular choroidal infarction. Results: Six patients (10 eyes) with Amalric triangular choroidal infarction were enrolled. Patients' ages ranged from 7 years to 90 years (mean 54 years, median 60 years). Wedgeshaped or triangular areas of choroidal ischemia were evident with fluorescein angiography in all patients and with indocyanine green angiography in one patient. Optical coherence tomography angiography demonstrated choriocapillaris flow reduction that colocalized with outer retinal structural abnormalities with en face optical coherence tomography and corresponded with the triangular zones of choroidal infarction identified with fluorescein angiography in one patient. Etiologies included giant cell arteritis in three cases: traumatic carotid dissection, traumatic retrobulbar hemorrhage, and malignant hypertension secondary to lupus-associated nephropathy. Conclusion: The Amalric triangular syndrome of choroidal infarction can occur as a result of a spectrum of etiologies, especially giant cell arteritis. Infarction is evident on traditional angiography in all cases. Optical coherence tomography angiography may provide a simple noninvasive tool to evaluate choroidal ischemia.

Original languageEnglish (US)
Pages (from-to)S113-S120
JournalRetinal Cases and Brief Reports
Volume11
Issue number1
DOIs
StatePublished - 2017

Keywords

  • Amalric
  • Choroid
  • Choroidal infarction
  • Giant cell arteritis
  • Optical coherence tomography angiography

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint

Dive into the research topics of 'The spectrum of amalric triangular choroidal infarction'. Together they form a unique fingerprint.

Cite this