Patient complains of diminished vision with known history of hypertension, diabetes mellitus and primary open angle glaucoma. The fundus examination is showing following figure. The most likely diagnosis is
(Also see colour pages)-
A. Macular hole
C. Macular degeneration
D. Retinal detachment
Answer- B. CRVO
The given figure of fundus is showing:
- Tortuous & engorged veins with hemorrhages all over retina
- Typical splash tomato fundus.
- CRVO is more common than the artery occlusion. Occlusion of CRV is less abrupt in presentation than occlusion of CRA.
- In central retinal vein occlusion (CRVO), glaucoma manifests about 100 days after thrombosis of central vein,’therefore, it is also called 100 days glaucoma.