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Two Strokes in One Patient: An Interesting Case Report
Abhay Lune1, Apurva Prabhudesai1
1Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Cureus
|October 14, 2024
Summary
Transient visual blurring can precede central retinal artery occlusion (CRAO), a serious condition causing sudden vision loss. Recognizing these warning signs and managing risk factors are crucial for preventing CRAO.
Area of Science:
- Ophthalmology
- Neurology
- Vascular Medicine
Background:
- Central retinal artery occlusion (CRAO) is a critical ophthalmic emergency leading to profound vision loss.
- Transient visual disturbances preceding CRAO are often overlooked but can signify impending ischemia.
Observation:
- A 50-year-old male presented with CRAO in his left eye.
- He reported a history of transient visual blurring 15 days prior, a past stroke, discontinued anticoagulation, chronic smoking, and poorly controlled diabetes mellitus.
Findings:
- Funduscopic examination revealed macular edema with a cherry-red spot and blurred optic disc margins.
- Prompt treatment including ocular massage and paracentesis improved vision to finger counting at 2 meters.
Implications:
- This case underscores the significance of transient ischemic symptoms as precursors to CRAO.
- Maintaining long-term anticoagulant therapy and strict control of risk factors like diabetes and smoking are vital for preventing CRAO.
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