Patient Presentation: A 74-year-old female with no previous ocular pathology presented with acute vision loss OD. Vision was LP OD and 20/25 OS. There was a right RAPD. She denied any family history of ocular disease. Her medications included rosuvastatin, ramipril, metformin and sliding scale insulin. The patient's fundus photograph is shown below:
OCT macula OD was performed and shown below:
Question: What pathology is NOT present in the OD fundus photo shown?
Question: What section of the retina is abnormal on OCT?
What is the Diagnosis?
1. Recognize the classic OCT finding of a CRAO: Increased hyper-reflectivity and thickness of the inner retinal layers, corresponding to the inner retinal edema secondary to ischemia.