METALLIC RETINAL ARTERY EMBOLUS AFTER PIPELINE EMBOLIZATION DEVICE.

Retin Cases Brief RepOct 28, 2026
Case ReportOphthalmologyNeurosurgery

Colin P Froines, Samuel A Whittier, Justin L Gottlieb

✦ AI-curated · Sources linked

Case in brief

A 41-year-old woman who had undergone two Pipeline embolization device procedures for a left ophthalmic artery aneurysm was referred after an incidental refractile object was seen in the left macula. Fundoscopy showed the object at the temporal edge of the fovea. Optical coherence tomography demonstrated that it was intravascular, while optical coherence tomography angiography showed no vascular occlusion. The finding was asymptomatic; the report describes it as a metallic retinal embolus following device placement.

What made this case unusual

The embolus was a visible, refractile metallic object at the macula, yet imaging showed no associated vascular occlusion.

Diagnostic / clinical pearl

An incidental refractile retinal object after Pipeline embolization may be intravascular; OCT and OCT angiography can help establish its location and assess for occlusion.

Source

PubMed · PMID 40986781

Published in Retin Cases Brief Rep. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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