71-year-old male with history of hypertension presented with acute vision loss

 

  • Pinhole VA OD: 20/200
  • Fundus photo showing diffuse retinal whitening sparing the nasal macular zone due to cilioretinal perfusion and macular cherry red spot.
  • OCT with diffuse middle retinal hyperreflectivity sparing the nasal macular zone.
  • This patient was diagnosed with a central retinal artery occlusion with a cilioretinal artery sparing the nasal macular zone