Delhi Journal of Ophthalmology

A Rare Case of Combined Vascular Block

Brahm Prakash Guliani, Komal Saluja
Department of Ophthalmology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Komal Saluja MS
Room No 430, Eye OPD, 4th Floor,
New OPD Building,Safdarjung Hospital,
New Delhi - 110029, India
Email id: saluja.komal@gmail.com


Received: 26-DEC-2018 Accepted: 22-JAN-2019 Published Online: 05-MAY-2019
DOI: https://dx.doi.org/10.7869/djo.446

Abstract
Papillophlebitis or central retinal vein occlusion (CRVO) of the young is a condition affecting healthy adults, less than 50 years of age. We report a case of papillophlebitis with cilioretinal artery occlusion along with its fundus fluorescein angiography (FFA) and Spectral Domain Ocular Coherence Tomography (SD-OCT) features. A 27 year old female with no systemic illness reported with sudden onset diminution of vision for 1 day. Fundus examination revealed optic nerve head edema, dilated tortuous veins and whitening of papillomacular bundle suggestive of cilioretinal artery occlusion. Fundus fluorescein angiography showed normal filling of cilioretinal artery and no rteriovenous delay. OCT showed hyperreflective inner retinal layers with obscuration of external limiting membrane. Prompt therapy with high dose intravenous steroids lead to early resolution and better visual prognosis.

Keywords :Papillophlebitis, Combined vascular block, Cilioretinal artery occlusion