Dr.Divya Alex
Purpose:To report a rare case of central retinal artery occlusion(CRAO) in a young male
Case report: A 29 year old male presented with sudden onset defective vision OS for past 4 hours. He gave a history of redness, pain and watery discharge OS for past 2 days. For a soothening effect, he applied frozen water over his left eye for few minutes in an intermittent fashion and lost vision after that. His BCVA OD was 6/6, OS PL+PR+.Slitlamp examination revealed conjunctival congestion and mild chemosis OS. Fundoscopy revealed whitening of retina with cherry red spot and cattle track sign s/o CRAO. Right eye was essentially normal
Result: Immediate goniomassage, AC paracentesis with oral acetazolamide was given. His vision remained the same. He was advised to get cardiac,neuro consult with blood investigations to rule out hypercoagulable disorders. Nothing turned relevant
Conclusion:Cold stimuli might have caused vasospasm leading to CRAO.It was just a child play which went terribly wrong.
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