Vascular Sheathing from Ischemic Central Retinal Vein Occlusion

Clinical Image

Volume 3, Issue 6 (June Issue)

Vascular Sheathing from Ischemic Central Retinal Vein Occlusion

Michael L Marin^1* and Adam Korayem²

¹Surgical Department, Icahn School of Medicine at Mount Sinai, USA
²Vascular Surgery Department, Icahn School of Medicine at Mount Sinai, USA

^*Corresponding author: Michael L Marin, Surgical Department, Icahn School of Medicine at Mount Sinai, USA, E-mail: martin.michael@gmail.com

Received: May 28, 2021; Accepted: June 06, 2021; Published: June 19, 2021

Citation: Marin ML, Korayem A, et al. Vascular Sheathing from Ischemic Central Retinal Vein Occlusion. Clin Image Case Rep J. 2021; 3(6): 168.

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Abstract

A 54-year-old man with no prior medical care presented with acute vision loss in the left eye. Visual acuity was hand motion and blood pressure were 220/136. Examination demonstrated severe disc and macular edema, retinal whitening, venous sheathing, and intraretinal hemorrhages (Panel A). Fluorescein angiography revealed venous leakage and non-perfusion (Panel B). The patient underwent empiric intravitreal foscarnet. After infectious/inflammatory etiologies were ruled out, he received 3 monthly intravitreal bevacizumab injections for presumed central retinal vein occlusion. At 3 months, there was complete resolution of sheathing (Panel C) but with persistent macular ischemia (Panel D) resulting in counting fingers vision.