Unilateral central retinal vein occlusion with inferotemporal branch retinal artery occlusion: A Case Report

Abstract

The association of branch retinal artery occlusion with central retinal vein occlusion is a rare presentation. Both these conditions are commonly caused by systemic disorders like hypertension, diabetes and atherosclerosis which are most common in the old age group greater than 60 years of age.  Reporting a case of a 39-year-old male patient with no known history of any systemic disorder came with complaints of sudden loss of vision of right eye for past 2 days. His visual acuity in the right eye was 5/60 (not improving with glasses) and in the lest eye was 6/6.Clinical evaluation revealed right eye central retinal vein occlusion combined with branch retinal artery occlusion. Oct of right eye revealed macular edema. Systemic evaluation and investigations were done to look for the cause. Elevated blood pressure was noted and other investigations and cardiac evaluation were found to be normal. The patient was started on anti-hypertensives and intravitreal Anti-VEGF injection Bevacizumab was given to the right eye for macular edema.