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A 76-year-old man with hypertension presented with a sudden, painless, and profound loss of vision in the right eye. Visual acuity was light perception only in the affected eye, with a positive relative afferent pupillary defect. Ophthalmoscopic examination revealed diffuse retinal whitening, constriction of the arteriole and venule with segmentation (Panel A, arrowhead), and a cherry-red spot in the macula (Panel A, arrow) — all signs compatible with the diagnosis of central retinal artery occlusion. A horizontally oriented optical coherence tomograph of the macula (Panel B, arrowhead) demonstrated increased thickness and reflectivity of the inner bands, indicating ischemic damage to . . . [Full Text of this Article] |
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