Abstract
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Highlights
A 30-year-old male presented with diminution of vision in his left eye (1/60), intraocular pressure (IOP) of 40 mmHg and full anterior chamber hyphema, following a blunt trauma 15 days before
The peripheral vascular occlusion exhibited in sickle cell disease (SCD) is caused by the sickling process
Similar events occurred in our case and led to unilateral manifestation of retinopathy
Summary
Vitreo Retina and Uvea Services, Sadguru Netra Chikitsalaya, Chitrakoot, India ORCID: Ekta Singh Sahu: https://orcid.org/0000-0002-9639-6622. A 30-year-old male presented with diminution of vision in his left eye (1/60), intraocular pressure (IOP) of 40 mmHg and full anterior chamber hyphema, following a blunt trauma 15 days before. An anterior chamber washout was performed in his left eye following which his visual acuity improved to 6/12 and IOP reduced to 24 mm Hg. Postoperative funduscopy showed multiple retinal vascular chalky-white occlusions, with focal spasm of vessels and superficial retinal hemorrhages [Figure 1a]. B. Fluorescein angiography of the left eye at first visit shows absence of filling of dye in posterior and peripheral retina with hyperfluorescent column (marked with white arrow) at junction of abrupt obstruction of circulation. Compensatory microaneurysms due to ischemic insult in the peripheral retina without signs of neovascularization [Figure 4d]; we kept him under observation
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