BILATERAL CENTRAL RETINAL ARTERY OCCLUSION IN A PATIENT WITH ACUTE PANCREATITIS


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Abstract

Purpose:To illustrate a case of bilateral simultaneous central retinal artery occlusion in a patient with acute pancreatitis.Methods:This patient presented to the emergency room with a 4-day history of acute painless bilateral loss of vision and was then immediately referred to the on-call ophthalmologist.Patient:This patient is a 47-year-old white man with a chronic history of alcohol abuse.Results:Laboratory workup and computed tomography abdominal imaging were diagnostic of acute pancreatitis.Discussion:It is postulated that the resultant complement activation with subsequent leukoembolization along with the combined effect of other variables led to microvascular damage resulting in bilateral central retinal artery occlusion.

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