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Central Retinal Artery Occlusion - 2 months old by history518 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.

IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO

DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.

At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Central Retinal Artery Occlusion - 2 months old by history223 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.

IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO

DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.

At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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craoacutedoca_28129.jpg
Central Retinal Artery Occlusion - 2 months old by history324 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.

IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO

DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.

At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 532 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 187 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 162 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 159 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 120 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 85 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 110 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 60 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 71 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 64 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 87 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 85 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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209 views
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166 views
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148 views
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Montage of Hemi-Central Retinal Artery Occlusion151 views
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Montage of Hemi-Central Retinal Artery Occlusion203 views
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CRAO96 viewsCRAO in OD of a 37 yr old Male, Transit Phase
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CRAO78 viewsCRAO in OD Late Phase of FA
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CRAO69 viewsCRAO in OD Tranisit Phase of FA
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CRAO79 viewsCRAO in OD Tranisit Phase of FA
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CRAO111 viewsCRAO Color Montage
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Iris Neovascularization secondary to Central Retinal Artery Occlusion290 views
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CRAO60 viewsCRAO in OD
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FA: CRAO132 viewsCRAO with cilio artery perfusion
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CRAO WITH SPARING OF CILIORETINAL ARTERY59 viewsThis patient was found to have retinal edema from a Central Retinal Artery Occlusion with sparing of the cilioretinal artery. There were no discernible Hollenhorst plaques
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion206 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion196 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion133 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion175 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion216 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion190 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion125 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion207 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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craoischemic_kath_28129.png
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion182 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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craoischemic_kath_28929.png
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion107 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion119 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion95 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion131 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion145 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion165 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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