Taiwan Journal of Ophthalmology (Jan 2023)

Brain fog and vessel clogs

  • Aditya Maitray,
  • Anju Kuriakose,
  • Anand Rajendran,
  • Karthik Srinivasan,
  • Maanasi Mahalingam

DOI
https://doi.org/10.4103/tjo.TJO-D-22-00107
Journal volume & issue
Vol. 14, no. 2
pp. 271 – 274

Abstract

Read online

We present a unique case of a 36-year-old female presenting with features suggestive of bilateral combined vascular occlusion, hearing loss, and encephalopathy. Multimodal imaging was done for both eyes fundus evaluation including wide-field color fundus photography, optical coherence tomography, and fundus fluorescein angiography. After extensive ocular and systemic investigations, she was diagnosed to have Susac syndrome (SS). She was referred to a neurologist and otologist for systemic evaluation and underwent laser photocoagulation in both eyes, followed by pars plana vitrectomy in her left eye. Combined bilateral retinal vascular occlusion in association with SS is very rare.

Keywords