Multiple, Recurrent, Bilateral Branch Retinal Artery Occlusions Associated with Carotid Webs.

Purpose: We describe a case of bilateral, multiple, branch retinal artery occlusions (BRAO) associated with carotid webs.

Methods: A thorough chart review was conducted for the patient. Relevant literature was systematically reviewed.

Results: Eight cases of fibromuscular dysplasia (FMD) associated with retinal artery occlusions have been reported. Two additional cases of FMD with other ocular involvement have been described. No cases of carotid webs associated with retinal artery occlusions were found.

Conclusion: Carotid webs, an uncommon variant of FMD, are a recognized causative etiology of arterial, ischemic stroke. The case described here of bilateral, multifocal BRAOs represents a unique manifestation of this variant of FMD. This diagnosis should be considered in the setting of an otherwise unrevealing BRAO workup, as recognition of this association may be sight and life-saving.