Skip to main content

Importance of an Ophthalmic Finding: Hollenhorst Plaques

 

Importance of an Ophthalmic Finding: Hollenhorst Plaques

Mario Nubile1*, Leonardo Mastropasqua1 and Paolo Rama2

1Ophthalmology Clinic, National Centre of High Technology (CNAT) in Ophthalmology, University of "G d'Annunzio", Chieti-Pescara, Italy
2Cornea and Ocular Surface Unit, San Raffaele Scientific Institute, Milano, Italy

*Corresponding author: Mario Nubile, Ophthalmology Clinic, National Centre of High Technology (CNAT) in Ophthalmology, University of "G d'Annunzio", Chieti-Pescara, Italy, E-mail: marnubile@unich.it

Received: May 29, 2021; Accepted: June 08, 2021; Published: June 21, 2021

Citation: Nubile M, Mastropasqua L, Rama P, et al. Importance of an Ophthalmic Finding: Hollenhorst Plaques. Clin Image Case Rep J. 2021; 3(6): 169.

Abstract

A 53-year-old woman presented with sudden, painless loss of vision in the left eye and vision of counting fingers. She was a known diabetic and hypertensive on medical management. Left eye retinal examination revealed retinal whitening at the posterior pole along with cherry red spot at the macula and presence of emboli called Hollenhorst plaques in the superotemporal and inferotemporal branches of the retinal arteries (arrows). Immediate ocular massage was done to dislodge the emboli but visual improvement was minimal. Carotid doppler and a full cardiac work-up was advised which was found to be normal. Hollenhorst plaques are cholesterol emboli, the most common form of emboli causing branch or central retinal artery occlusions. They are yellow, refractile and originate from carotid or aortic atherosclerotic plaques.

Hollenhorst plaques are important as they can be predictive of an impending ischemic stroke especially in the elderly. Immediate carotid doppler should be ordered in these patients to assess carotid artery stenosis as well as a cardiological work-up. If the lesion is ulcerated and causing more than 70% stenosis, the patient should be for stenting to an interventional radiologist [1].

Labels:

Comments

Post a Comment

Popular posts from this blog

Exporter of Reprints (Printed Material)

  What is Reprints? Reprints generally refer to copies of a previously published work. The meaning can vary slightly depending on the context: In Publishing (Books, Journals, Articles): • Reprints are additional printed copies of an article or book that has already been published. • Authors often request reprints of their scientific or medical journal articles to distribute to colleagues, conferences, or patients. • Book reprints are new print runs of a previously released edition, often without changes. Example • A doctor publishes a case report in a journal and requests 500 reprints to distribute at a medical conference. • A publisher prints a second batch of an already released novel — that’s a reprint. Use of Reprints Published article hard copy and reprints may be used to display the potential of the article at interviews, conferences, distribution to colleagues, seminars and other promotional activities, etc. Exporter of Reprints (Printed Material) We are an ex...
Post a Comment
Read more

Totally Implanted Venous Catheter: What Can Go Wrong

Totally Implanted Venous Catheter: What Can Go Wrong Marisa C. Couto * , Nuno Teixeira Tavares and Miguel Barbosa Serviço de Oncologia Médica, Unidade Local de Saúde de São João; Porto, Portugal * Corresponding author:  Marisa C. Couto, Serviço de Oncologia Médica, Unidade Local de Saúde de São João; Porto, Portugal. E-mail:  coutomarisa18@gmail.com Received:  July 20, 2025;  Accepted:  August 02, 2025;  Published:  August 15, 2025 Citation:  Couto MC, Tavares NT, Barbosa M. Totally Implanted Venous Catheter: What Can Go Wrong? Clin Image Case Rep J. 2025; 7(5): 569. Abstract A 50-year-old woman with a BRCA1 mutation was diagnosed with triple-negative carcinoma of the left breast in 2022. To initiate neoadjuvant chemotherapy, a totally implanted subclavian catheter was inserted. After three months of use, it developed a thrombosis and had to be removed. A second catheter was then inserted into the left brachial vein. Immediately after placement, t...
Post a Comment
Read more

Clinical Image of Metastatic Non Hodgkins Lymphoma Manifesting as Bilateral Adrenal Masses

Clinical Image of Metastatic Non Hodgkins Lymphoma Manifesting as Bilateral Adrenal Masses Shohei SH 1* , Wang M 2  and Zhou YQ 2 1 Hematopathology Section, Laboratory of Pathology Kanazawa Medical University, Ishikawa, Japan 2 Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China     *Corresponding author:  Shohei SH, Hematopathology Section, Laboratory of Pathology Kanazawa Medical University, Ishikawa, Japan, E-mail:  shohe1@kanazawamed.ac.jp  Citation:  Shohei SH, Wang M, Zhou YQ, et al. Clinical Image of Metastatic Non-Hodgkin’s Lymphoma Manifesting as Bilateral Adrenal Masses. Clin Image Case Rep J . 2020; 2(2): 114.  Clinical Images and Case Reports Journal PDF | Full Text
Post a Comment
Read more