This 81YO female presented with acute vision loss in her right eye. Vision was light perception.
Optos color RG imaging shows an acute central retinal artery occlusion (CRAO) with opaque white retina surrounding the preserved central fovea (‘cherry red spot’). A stagnant blood column is noted inferiorly with box-carring. OCT scanning shows a thickened and markedly hyperreflective inner retina. She was immediately referred to the nearest stroke center.
