This 80YO male presented with an acute branch retinal artery occlusion (BRAO) and 20/25 vision. Triton color imaging shows an opaque retina in the superior macula.
Swept-source OCT shows a thickened, hyperreflective inner retina with posterior shadowing due to decreased light transmittance through the opacified inner retinal layers. There are no emboli.
This patient had acute retinal ischemia (defined as acute BRAO, central retinal artery occlusion or transient monocular vision loss), and was immediately referred to the nearest stroke center.
