DR. ABHISHEK TRIPATHI

DR.(MAJ) SHANKAR SANDEEP, DR. ASHOK KUMAR, DR. MOHINI AGRAWAL

Abstract

Two serving soldiers of 35 years age, no comorbidities, had sudden painful loss of vision. First case had decreased vision right eye following 5 days of descent from High-Altitude with BCVA CFCF with accurate PR and raised IOP. FFA revealed Ischemic CRVO with macular edema. Managed aggressively with antiglaucoma drugs followed by Anti-VEGF and PRP. Despite all measures, vision dropped to PL-positive and PR-inaccurate, IOP remained increased and eventually, he had Ahmed glaucoma valve surgery. Similarly, another case was in high altitude for 1 year presented with decreased vision left eye for 2 months. Vision was 6/24 and had Non-ischemic CRVO on FFA. Revealed hyper-homocysteinemia as well. Presently, both cases are on regular follow-up. Conclusion: Though studies showed that younger age may be a protective factor against development of NVG in CRVO, young patient with risk-factor should be followed closely. People with prolonged high-altitude exposure require frequent eye evaluations.