{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:36Z","timestamp":1787840556135,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"Abstract<\/jats:title>\n \n Purpose:<\/jats:title>\n To highlight the importance of recognizing the risk factors for central retinal artery occlusion (CRAO) in patients with congenital heart diseases, as CRAO is a rare but severe condition that can lead to permanent vision loss. Patients with a history of surgical procedures for congenital heart defects, such as the Fontan procedure, may have unique risk profiles for retinal vascular events.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We present the case of a young female patient with a past medical history of a Fontan procedure who experienced acute vision loss in her left eye.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The onset was sudden, with no preceding symptoms. Ophthalmologic evaluation and imaging confirmed the diagnosis of CRAO. Further investigations suggested that her underlying cardiovascular condition may have contributed to the vascular event.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n This case highlights the importance of recognizing the risk factors for CRAO in patients with congenital heart disease, particularly those who have undergone the Fontan procedure. Early detection and management are critical to improving visual outcomes in such patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/joco.joco_272_24","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T09:01:28Z","timestamp":1773824488000},"page":"371-374","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case Report of Central Retinal Artery Occlusion in a Young Female Post-Fontan Procedure: Clinical Implications and Management"],"prefix":"10.4103","volume":"37","author":[{"given":"Hanan Khalid","family":"Aljaidi","sequence":"first","affiliation":[{"name":"Department of Adult Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marah Saud","family":"AlEnezi","sequence":"additional","affiliation":[{"name":"Department of Adult Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghaida Ali","family":"Al Ghamdi","sequence":"additional","affiliation":[{"name":"Department of Adult Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Souda E.","family":"El Sheikh","sequence":"additional","affiliation":[{"name":"Department of Adult Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"R1-20260319","first-page":"104","article-title":"Ocular complications in children after congenital heart surgery","volume":"53","author":"Hsu","year":"2016","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R2-20260319","first-page":"1713","article-title":"Central retinal artery occlusion in young adults: The role of thromboelastography and platelets","volume":"36","author":"Goldstein","year":"2005","journal-title":"Stroke"},{"key":"R3-20260319","first-page":"1147","article-title":"The Fontan operation: State of the art","volume":"35","author":"Kinsella","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"R4-20260319","first-page":"77","article-title":"Understanding the long-term effects of the Fontan procedure","volume":"9","author":"Strouse","year":"2014","journal-title":"Congenit Heart Dis"},{"key":"R5-20260319","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1097\/01.ta.0000196008.48461.47","article-title":"Venous thromboembolic events in pediatric trauma patients: Is prophylaxis necessary?","volume":"59","author":"Azu","year":"2005","journal-title":"J Trauma"},{"key":"R6-20260319","doi-asserted-by":"crossref","first-page":"273","DOI":"10.4103\/2211-5056.353126","article-title":"A review of the management of central retinal artery occlusion","volume":"12","author":"Madike","year":"2022","journal-title":"Taiwan J Ophthalmol"},{"key":"R7-20260319","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1136\/jnnp.2004.037135","article-title":"Comparison of intra-arterial thrombolysis with conventional treatment in patients with acute central retinal artery occlusion","volume":"76","author":"Arnold","year":"2005","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R8-20260319","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/WNO.0000000000000231","article-title":"Should patients with acute central retinal artery occlusion be treated with intra-arterial T-PA?","volume":"35","author":"Egan","year":"2015","journal-title":"J Neuroophthalmol"},{"key":"R9-20260319","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1038\/eye.2014.119","article-title":"Reply:'A review of central retinal artery occlusion: clinical presentation and management'","volume":"28","author":"Varma","year":"2014","journal-title":"Eye (Lond)"},{"key":"R10-20260319","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1177\/17474930221127538","article-title":"Age-specific trends in intravenous thrombolysis and mechanical thrombectomy utilization in acute ischemic stroke in children under age 18","volume":"18","author":"Kaur","year":"2023","journal-title":"Int J Stroke"},{"key":"R11-20260319","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1177\/17474930221130911","article-title":"Intravenous thrombolysis for treatment of pediatric acute ischemic stroke: Analysis of 20 years of population-level data in the United States","volume":"18","author":"Dicpinigaitis","year":"2023","journal-title":"Int J Stroke"},{"key":"R12-20260319","first-page":"e2128","article-title":"Central retinal artery occlusion with sparing of cilioretinal artery post pulmonary artery stenting","volume":"10","author":"Oo","year":"2018","journal-title":"Cureus"}],"container-title":["Journal of Current Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/joco.joco_272_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:00Z","timestamp":1787837100000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/joco.joco_272_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/joco.joco_272_24","relation":{},"ISSN":["2452-2325"],"issn-type":[{"value":"2452-2325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-12-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}