Case 10

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:

Retina 10-1.png

Question: What pathology is NOT present in the OD fundus photo shown?

Retina 10-2.png

Question: What section of the retina is abnormal on OCT?

What is the Diagnosis?

Learning Objectives:

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.