DR. SAKSHI MAKHLOGA

DR. MEHUL SHAH, DR. SHREYA SHAH

Abstract

INTRODUCTION:BRAO IS AN EYE EMERGENCY,IS DECREASED ARTERIAL BLOOD FLOW TO THE RETINA LEADING TO ISCHEMIC DAMAGE TYPICALLY RESULTING FROM EMBOLI TO A BRANCH OF THE CENTRAL RETINAL ARTERY.BRAO REPRESENT 38% OF ALL ACUTE RETINAL ARTERY OBSTRUCTIONS.

ABSTRACT:A 65 YEAR OLD FEMALE PRESENTED WITH COMPLIANTS OF SUDDEN PAINLESS LOSS OF VISION IN OS SINCE 1 DAY,BCVA-HM.ON SLE EXAMINATION-ANTERIOR SEGMENT WITHIN NORMAL LIMITS,PSEUDOPHAKIA AND ON FUNDUS EXAMINATION-PALE OPTIC DISC AND RETINAL ISCHEMIA WITH WHITISH EDGES,RETINAL EDEMA WITH CHERRY RED SPOTS.PATIENT WAS DIAGNOSED AS BRAO,STARTED ON ORAL ACETAZOLAMIDE,I.V MANNITOL AND INTRAVITREAL-BEVACIZUMAB AND TRIAMCELONE.PATIENT FOLLOWED AFTER 1 WEEK,BCVA RESTORED TO 6/18 WITH SIGNIFICANT DECREASE IN INTRARETINAL EDEMA.

CONCLUSION:BRAO THOUGH LESS COMMON BUT EARLY DIAGNOSIS AND PROMPT MANAGEMENT OF DISEASE CAN LEAD TO SIGNIFICANT IMPROVEMENT IN THE VISION OF VISION.