Dr.Alokit Sharma

Dr.Lipa Mohanty

Abstract

This case report describes clinical presentation and management of 36-year male with sudden vision loss in lower right eye field, no history of systemic illness. High BP, abnormal pulse. Vision-6/12 in right eye, normal Iop. Fundus- multiple soft exudates along ischemic patch in macular region. OCT-hyperreflectivity, increase thickness of inner layers of superior retina. Perimetry-presence of inferior hemianopia in right eye.
On evaluation right eye superotemporal BRAO detected. No treatment, due to delayed presentation. Cardiology referral, aortic stenosis, LVH detected. Aortic valve replacement recommended and performed.
Two-month post-surgery, visual acuity right eye 6/12, Iop normal. Fundus examination ischemic patch in macular region right eye. On Perimetry presence of residual inferior hemianopia in right eye.
Case report emphasizes importance of rigorous, urgent ophthalmic evaluation, fundus and OCT examination, to ensure timely detection, treatment, and prevention of disease.