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Research Letters | Feb 2013

Noncompaction Cardiomyopathy Manifesting as Retinal Artery Occlusion

Tan Jin-Poi, MBBChBAO; Ismail Shatriah, MD; Seng Loong Ng, MD; Yusof Zurkurnai, MD; Rohaizan Yunus, MD

JAMA Ophthalmol. 2013;131(2):263-265. doi:10.1001/jamaophthalmol.2013.587.

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Noncompaction cardiomyopathy is a rare cardiomyopathy that affects both children and adults.¹ It commonly manifests with heart failure, systemic embolism, and arrhythmia.¹^- 2 We describe an adult patient with bilateral retinal embolism as the manifesting sign of noncompaction cardiomyopathy.

Correspondence: Dr Shatriah, Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia (shatriah@kck.usm.my).

Conflict of Interest Disclosures: None reported.

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Figure 1. Fundus photographs and visual field testing results. A, Fundus photograph shows central retinal artery occlusion in the right eye. B, An embolus visible in the arteriole on the optic disc (arrow) causes hemicentral retinal artery occlusion in the left eye. Visual field testing shows field loss in the right (C) and left (D) eyes.

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Figure 2. Echocardiogram and color Doppler imaging. A, Echocardiogram shows prominent trabeculations in the left ventricle. Red arrow indicates intertrabecular recesses; yellow arrow, trabeculae. B, Color Doppler image shows the presence of intraventricular cavity blood flow up to the depth of the intertrabecular recesses. Green arrows indicate blood flow in the intertrabecular recesses; red arrow, noncompacted zone; and purple arrow, compacted zone.

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Jin-Poi T, Shatriah I, Ng S, Zurkurnai Y, Yunus R. Noncompaction Cardiomyopathy Manifesting as Retinal Artery Occlusion. JAMA Ophthalmol. 2013;131(2):263-265. doi:10.1001/jamaophthalmol.2013.587.

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