Dr. Dharmil Doshi, D15763
CRAO in a young patient is uncommon. We are presenting a case of 24 years old female patient presented to OPD with c/o sudden onset painless loss of vision in her left eye. VA in RE 6/6 LE HM+,PL+,PR 4+.
LE pupil was sluggishly reacted to light with RAPD. Fundus examination showed superior hemi CRAO with retinal edema and cherry red spot at the macula. Ocular massage and AC paracentesis were immediately done.
On history, patient said she had some heart problem.(papers not available).As CRAO is very uncommon in the young patient we investigated thoroughly. CBC,ESR,CRP,RFT,lipid profile,serum homocysteine,BT,CT,PT,APTT, carotid doppler were done and all were WNL.2D echocardiography was done and showed truncus arteriosus with non-restrictive ventricular septal defect and right ventricular hypertrophy.
From this, we derived to the possible etiology of cardiac embolus causing hemi CRAO. In conclusion, CHD needs to be considered as possible etiology in young patients with arterial occlusion