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Published on: April 1, 2022
Bilateral central retinal artery occlusion in a patient with acute pancreatitis
Peter J Timoney1, James C Pate, P Andrew Pearson
1From the Department of Ophthalmology, Kentucky Clinic, University of Kentucky, Lexington, Kentucky.
Purpose:
To illustrate a case of bilateral simultaneous central retinal artery occlusion in a patient with acute pancreatitis.
Methods:
This patient presented to the emergency room with a 4-day history of acute painless bilateral loss of vision and was then immediately referred to the on-call ophthalmologist.
Patient:
This patient is a 47-year-old white man with a chronic history of alcohol abuse.
Results:
Laboratory workup and computed tomography abdominal imaging were diagnostic of acute pancreatitis.
Discussion:
It is postulated that the resultant complement activation with subsequent leukoembolization along with the combined effect of other variables led to microvascular damage resulting in bilateral central retinal artery occlusion.
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