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Combined Central Retinal Vein Occlusion with Branch Retinal Artery Occlusion
Apr 28 2024 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology) Fellow in Vitreous & Retina
This is fundus photograph of a 46-year male patient who presented with sudden diminution of vision in his right eye (RE) for 3 days. He was hypertensive but non diabetic. On examination, his best corrected vision in RE was 6/12. His left eye (LE) was normal. His fundus examination in RE revealed multiple intra retinal hemorrhages in all quadrants with tortuosity of veins suggestive of central retinal vein occlusion (CRVO) with mild disc edema. An ischemic area was seen superior to fovea suggestive of branch retinal artery occlusion. OCT depicted thickening of inner retinal layers with little evidence of macular edema. Hematological and cardio vascular investigations were done. He had bilateral thickening of intimal and medial walls of carotid arteries. He was under cardiology treatment. His vision improved to 6/6.
Photographer: Dr Kanwaljeet Harjot Madan
Condition/keywords: branch retinal artery occlusion (BRAO), central retinal vein occlusion