Central Retinal Vein Occlusion CRVO

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Central Retinal Vein Occlusion CRVO

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بسم الله الرحمن الرحيم Case Presentation Abdullah M. Al- osaily

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- 21 y/o girl complaining of mild pain , redness and decrease of vision OD following trauma by her sister finger 2 days back ,, - Not known to have any chronic systemic medical illnesses, ocular dis. , or previous Sx .

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RRR AC : D & Q Cornea: Clear Clear Lens: Clear Lens: Clear 20/20 VA ( sc ) 20/125 CED: 0.5 x 0.5 - no infiltrate - no AC reaction - no Hypopyon Mild redness IOP  OD : 15 OS : 16

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- But still, the decrease in vision is not explained by CED So , I asked the pt. - Wearing glasses  - ve - Amblyopia OD  - ve - Similar attack  - ve - More details about dec. VA  minutes after trauma, sudden and constant.

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OS OD 20/20 VA ( sc ) 20/125 17/17 Color vision 6/17 RRR, no RAPD Pupil RRR, no RAPD Full , no pain w eye movement EOM ( III, IV, VI ) Full , no pain w eye movement WNL Cranial N. (V, VII ) WNL Fundus ,,, 

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- Specific Qs : - marital status  single - DM, HPT, hyperlipidemia, coagulopathy  - ve - Cardiac diseases or valve defect  - ve - Resp. dis., renal dis., GIT dis.  - ve - Joints pain  - ve - Skin dis., allergy, or discoloration  - ve - Any medications  - ve

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- Impression : - CED OD - CRVO OD for investigation - Plan : - Oflox Qid , lubrication - Retinal on call consultation - FFA , OCT - CBC, ESR, PT, PTT - Glucose level, lipid profile. - VDRL, FTA - CXR - Autoimmune markers - Cardiac Echo.

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Don’t be fooled by your findings if its not explaining the patient symptoms ,,,

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You have to make a decision , , ,

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