Abstract
RATIONALE: Summarize the clinical experience of interventional thrombolysis treatment for a variant central retinal artery occlusion(CRAO). PATIENT CONCERNS: The patient experienced a sudden decline in left eye vision for 3 hours. DIAGNOSES AND INTERVENTIONS: One case of a special type of CRAO was reported, treated with microcatheter super selective middle meningeal artery thrombolysis. OUTCOMES: The blood supply of the central artery on both sides of the patient comes from the branch of the middle meningeal artery. The middle meningeal artery was selected by microcatheter and treated with urokinase via microcatheter. The patient's vision was significantly improved. LESSONS: Transcatheter super selective ophthalmic artery thrombolysis is currently a favorable surgical approach for treating CRAO. Accumulating clinical experience with variant ophthalmic arteries is beneficial for the prognosis of patients with CRAO.