Self-harm induced bilateral CRVO

Abstract

Central retinal vein occlusion (CRVO) is a common diagnosis encountered in our clinic. Patients usually have predisposing factors and regular presentation but, in this paper, we present an extremely unusual incidence of bilateral CRVO in a young male. The patient had jumped from the second floor after consumption of poison and suffered bilateral pneumothorax that needed hospitalisation for 5 weeks. Though the patient had noticed blurring in both eyes, he presumed it to his myopic state and broken glasses. On reporting to us after 2 months of this misfortune, he had non-ischemic variant of bilateral CRVO with Cystoid macular edema (CME) as consequences of bilateral pneumothorax. He was treated with single dose of inj. Avastin and macular grid laser in both eyes. Patient responded well and his visual status improved and now he is in follow-up. This case is being presented for its rarity and unusual profile.

Keywords

• anti-vegf
• bilateral crvo
• bilateral pneumothorax