Increased resistive index-induced unilateral venous stasis-like retinopathy in a patient with anemia

A rare presentation of unilateral venous stasis-like retinopathy is reported in a 55-year-old female. Unilateral, acute onset of diminution of vision was associated with multiple superficial retinal hemorrhages and Roth spots over the posterior pole of the retina. An increase in the resistive index (RI) of the central retinal artery and vein, along with iron deficiency anemia, was observed. The cardiac workup was unremarkable. Therapeutic doses of oral iron and folic acid were administered along with an antiplatelet agent. At 6 weeks, there was resolution of venous stasis-like retinopathy with improvement in retinal hemorrhages and visual acuity.