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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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