Abstract

Ophthalmic artery occlusion is a rare, blinding condition seen in patients with disorders like hypertension, hyperlipidemia, and hypercoagulable state. We report a unique case of ophthalmic artery occlusion in a patient with sickle cell trait and hyperhomocysteinemia. A 23-year-old male presented with a complaint of loss of vision in the right eye for the last two days. There is a history of right-sided hemiparesis due to a thromboembolic event. He is a carrier of sickle cell trait. Fundus showed a pale disc, attenuated artery and vein. OCT revealed foveal thinning and thick posterior hyaloid. ERG showed an extinguished scotopic and photopic response.

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