DR. SWETA PATRO

DR. KARAN A.K., DR. MAHESHWARI S, DR. SARAVANAN V.R.

Abstract

A 35 year old male presented with sudden painless loss of vision in his RE for one day.His BCVA in RE was 6/24 and LE was 6/6P.He was a known case of Microspherophakia,high myopia and angle closure glaucoma with no systemic comorbidities.IOP in RE was 26mmHg and LE was 24mmHg.Clinical examination revealed a shallow anterior chamber,iridodonesis,phacodonesis and fundus showed a cup disc ratio of 0.7:1,splinter hemorrhage on the optic disc and a pale posterior pole with a cherry red spot.OCT showed hyper reflective retinal layers in RE and normal arm-retinal circulation time on FFA.1 month later his BCVA in RE improved to 6/9P but IOP was 44mmHg and 38mmHg in LE.A diagnosis of transient Central retinal artery occlusion in RE secondary to raised IOP due to habitual prone positioning while sleeping was made.IOP was uncontrolled despite medications and patient underwent Pars Plana lensectomy with Scleral fixated IOL in RE followed by LE.His IOP and vision remained stable post surgery.