The Retinal Hibiscus: Neovascularization of the Disc in CRAO

• By S. Natarajan, MD, FASRS, FRCS (GLASGOW) , FICO, D.Sc, FELA
  Aditya Jyot Eye Hospital
  Co-author(s): Prof Dr. S. Natarajan , Dr. Manasi Raj Ketkar
• Uploaded on Oct 11, 2026.
• Last modified by Joshua Friedman on Oct 12, 2026.

Rating

Appears in

Miscellaneous

Condition/keywords

CRAO, neovascularization of the disc (NVD)

Photographer

MS. ASHWINI SUTAR

Imaging device

Fundus camera
MIRANTE NIDEK

Description

A 59-year-old female presented with complaints of sudden loss of vision in the left eye since 1 year. On examination, visual acuity in the right eye (RE) was 20/20, while in the left eye (LE) it was perception of light (PL) with inaccurate projection. Anterior segment examination was unremarkable. Fundus examination of the LE revealed Neovascularization of the Disc (NVD) with scleroses retinal vessels, giving a "retinal hibiscus" appearance. Based on clinical findings, a probable diagnosis of Central Retinal Artery Occlusion (CRAO) with Ocular Ischemic Syndrome (OIS) was made. The patient was advised Pan-Retinal Photocoagulation (PRP) for the NVD and further systemic evaluation.

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