Impact and Management of Bilateral Central Retinal Artery Occlusion: A Case Report

Abstract

Central retinal artery occlusion (CRAO) is a occasional but sight-threatening ophthalmologic  characterized by unexpected and unproblematic  due to retina ischemia.  of bilateral CRAO in a 65-  female . The patient initially presented with sudden unilateral blurring of vision in the right eye, which progressed to involve the left eye within hours. Fundoscopic examination revealed characteristic findings of CRAO in both eyes, including generalized disc pallor, retinal whitening with a cherry-red spot, and arterial attenuation. Systemic evaluation revealed acute infarcts in multiple brain regions on Magnetic resonance angiography, alongside deranged renal function and poorly controlled diabetes. Despite aggressive management with ocular massage, oxygen inhalation, acetazolamide, and anticoagulation, the visual prognosis remained guarded. This case highlights the challenges in managing bilateral CRAO. It emphasizes the importance of prompt recognition, aggressive systemic management, and exploration of novel therapeutic strategies to improve visual outcomes in affected individuals.