Dr.ANNU JOON
Central retinal artery occlusion (CRAO) is an ophthalmic emergency and warrants a detailed vascular evaluation besides appropriate ocular management. Patients presenting with CRAO often have a previously undiagnosed vascular risk factor that may be amenable to medical or surgical treatment which may help prevent a secondary ischemic event. The incidence rate of ischemic stroke is about 20 times higher within a month and 70 times higher within one week after CRAO occurrence. Hence, the optimal management of CRAO needs to address restoration of perfusion to CRA (if possible), prevent neovascular ocular complications and investigate systemic atherosclerotic risk factors to reduce ischaemic events to end organs.
We report a case of a young male with no systemic co-morbidity who presented with acute CRAO and subsequently suffered cerebral stroke two days later.
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