Central retinal artery occlusion

Abstract

A 60-year-old male patient reported to eye Outpatient Department with the complaint of sudden painless diminution of vision in right eye of 10 h duration. We found a Cherry red spot in the macula and a pale white posterior pole of the retina. Parameters of investigations showed hypertension, ischemic heart disease, and the presence of a carotid plaque in the Doppler study. Paracentesis was done with a 30-Gauge needle immediately within 15 min of the patient reporting to the Eye OPD. Any delay in reporting or institution of treatment can lead to irreversible blindness.

Keywords

• Central retinal artery obstruction
• outpatient department
• relative afferent pupillary defect
• Two-dimensional echocardiography