This 82YO female presented with counting fingers vision in her previously healthy right eye. Vision in her left eye had been counting fingers for many years due to a large chronic macular hole measuring 2,870 microns.
An acute central retinal artery occlusion (CRAO) was noted in her right eye. The foveal retina is still perfused by the underlying choroid, resulting in the classic cherry red spot.
Swept-source OCT shows hyperreflectivity from the opaque, ischemic inner retinal layers.
