DR.SURENDER KUMAR

Dr. JITENDER KUMAR, DR.SURENDER KUMAR, DR. MANISHA NADA, DR. MONIKA DAHIYA

Abstract

We report a case of 65 year old female presented with sudden, painless loss of vision in right eye for 2 days. There was no other significant ocular or medical history. Her BCVA was FCCF in right eye and 6/9 in left eye. Pupillary reaction and anterior segment examination was essentially normal in both eyes. On fundus, right eye showed retinal whitening with prominent cherry-red spot in the distribution of cilioretinal artery perfusion. On OCT, there was inner retinal thickening and blurring of retinal layers due to edema. Patient was diagnosed as isolated cilioretinal artery occlusion and was worked up for HTN and DM. Carotid doppler and 2D echocardiography was also ordered. But all investigations were normal except for raised ESR. Subsequent superficial temporal artery biopsy confirmed diagnosis of GCA. This case highlights the scenario, where clinical signs and symptoms were not suspicious for GCA but Ophthalmologist need to be aware because GCA may mimic many ophthalmic diseases