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66-year-old woman lost vision in the left eye from a central retinal artery occlusion. Vision OD is fine. VISUAL ACUITY: OD 20/25, OS 20/50. IOP: OD 17, OS 19. There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There are patchy hemorrhages inferotemporal and superotemporal to the fovea. OS: Vertical C/D ratio is 0.5. The nerve is pale. The macula is dry and atrophic. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: The FA shows clustered microaneurysms temporal to the fovea in the right eye which leak in the late frames. The left eye is angiographically normal. IMPRESSION: 1. OCULAR ISCHEMIC SYNDROME WITH RETINAL ARTERIAL MICROANEURYSMS – RIGHT EYE 2. HISTORY OF CENTRAL RETINAL OCCLUSION – LEFT EYE DISCUSSION: I explained to the patient unfortunately the right eye looks like it is manifesting ocular ischemic syndrome, which is troublesome because that is her better eye.

ocularischemiaOD_doro01.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago358 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro02.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago308 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro03.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago262 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro04.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago284 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro05.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago334 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro06.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago210 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro07.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago189 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro08.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago140 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro09.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago195 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro10.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago188 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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ocularischemiaOD_doro11.jpg
Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago151 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/5000000
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66-year-old woman lost vision in the left eye from a central retinal artery occlusion. Vision OD is fine. VISUAL ACUITY: OD 20/25, OS 20/50. IOP: OD 17, OS 19. There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There are patchy hemorrhages inferotemporal and superotemporal to the fovea. OS: Vertical C/D ratio is 0.5. The nerve is pale. The macula is dry and atrophic. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: The FA shows clustered microaneurysms temporal to the fovea in the right eye which leak in the late frames. The left eye is angiographically normal. IMPRESSION: 1. OCULAR ISCHEMIC SYNDROME WITH RETINAL ARTERIAL MICROANEURYSMS – RIGHT EYE 2. HISTORY OF CENTRAL RETINAL OCCLUSION – LEFT EYE DISCUSSION: I explained to the patient unfortunately the right eye looks like it is manifesting ocular ischemic syndrome, which is troublesome because that is her better eye.