Vascular Embols Responsible of Central Retinal Artery Occlusion and Cerebral Vascular Accident during Hypertensive Pic: A Case Report

We report the case of a 60-year-old patient referred for a sudden drop in visual acuity in the right eye sixteen hours after hypertensive peak. The visual acuity was limited to light perception on the right and 10/10 P2 on the left. The fundus examination revealed occlusion of the central retinal artery, with typical ischemic edema and a cherry-red macula. A fluorescein angiography showed a major circulatory slowdown. A cerebral CT scan also showed ischemic damage. The patient benefited from anticoagulation and oxygen therapy, without any improvement in visual acuity.