RT Journal Article T1 Multimodal Imaging, OCT en Face, and OCT Angiography of an Anomalous Retinal Artery: Case Report and Review of the Literature A1 Vidal Villegas, Beatriz A1 Miralles de Imperial Ollero, Juan Antonio A1 Santos Bueso, Enrique A1 García Feijoo, Julián A1 Villegas Pérez, María Paz AB The purpose is to study for the first time the vascular plexuses and the retinal nerve fiber layer and raphe of a patient with a very uncommon anatomical variation: an anomalous retinal artery supplying the whole macula. We used multimodal imaging, en face spectral-domain optic coherence tomography, and spectral-domain optic coherence tomography angiography. One patient presented in his left eye a very unusual anatomical variation of macular vascularization. A retinal artery deriving from the inferior temporal retinal artery irrigated the whole macula. The formation of the papillomacular bundle and the temporal raphe nerve fiber layer has been attributed to the earlier development of the central retina and to the existence of 2 distinct watershed zones. However, there are very uncommon anatomical variations of the retinal vasculature in which large retinal vessels cross the raphe and could influence the morphology and structure of the nerve fiber layer of the posterior pole. We review the literature on the subject and document for the first time an anomalous artery that irrigates the whole macula, normal thickness and morphology of the nerve fiber layer, and the temporal raphe. PB Karger Publishers SN 1663-2699 YR 2021 FD 2021-09-16 LK https://hdl.handle.net/20.500.14352/4507 UL https://hdl.handle.net/20.500.14352/4507 LA eng NO Received: February 13, 2021 / Accepted: June 27, 2021 / Published online: September 16, 2021. DS Docta Complutense RD 7 abr 2025