Dr.Anu F Anand
A 65 yr old male known case of type 2 diabetes mellitus, hypertension, chronic renal failure and coronary artery disease presented to the casualty with left sided headache and vomiting. CT brain showed multiple subacute infarcts in the bilateral corona radiata. He also complaints of loss of vision of both eyes since 3 months. Ophthalmological evaluation showed vision no perception of light in both eyes. Right eye pupil 4 mm with RAPD, pale disc with attenuated vessels. Left eye- circumcorneal congestion, corneal oedema, iris neovascularization from 7’O clock to 2’O clock position, mid dilated and fixed pupil, fundus hazy but pale disc and attenuated vessels made out. IOP RE- 12.2mmHg, LE- 67mmHg. Diagnosis of bilateral CRAO with left eye neovascular glaucoma made. Carotid doppler revealed a small atheromatous plaque in the left carotid bulb. Managed conservatively and symptomatically improved. Bilateral CRAO as well as neovascualr glaucoma following CRAO are very rare.
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