Abstract

An elderly male presented with sudden and progressive DoV in RE since 1.5 years with redness and mild pain. LE was operated for cataract 2 years back.
He was a known hypertensive on treatment for past 4 years. No other chronic illness.
His BCV was HM in RE with inaccurate PR in nasally and temporally, and 6/6 in LE. IOP was 38 mmHg in RE and 14 mmHg in LE by NCT. Grade II RAPD was noticed in RE. Gonioscopy showed synechial angle closure in RE.
Pale disc with a CDR of 0.9, along with multiple dot-blot haemorrhages and attenuated and few sclerosed arterioles in superior half of retina, and few drusens and dot haemorrhages over macula were visible in RE fundus examination; while LE was unremarkable.
A provisional diagnosis of RE: NVG with HRVO was made, and patient advised AGMs in RE topically. He was also advised FFA and intravitreal injection Anti VEGF+ Triamcinolone acetonide in RE.
After 2 months, his visual status remained constant in BE. IOP decreased in RE.