COMBINED OCCLUSION OF THE CENTRAL RETINAL ARTERY AND VEIN AFTER CORNEOSCLERAL INJURY (CLINICAL CASES)

Abstract

Eye injury remains a frequent reason to go to the emergency.

Purpose – to analyze clinical case of combined occlusion of the central retinal artery and vein (CRAVO) on the background of corneoscleral penetrating trauma.

A 38-year-old man complained of vision loss in his left eye after receiving an injury applied to the NCO named after Academician Zarifa Aliyeva. Routine ophthalmological examinations, computed tomography of the orbital region, clinical and biochemical blood tests, cardiogram, fluorography were prescribed. On examination, an injury of the upper and lower eyelids is noted on the left eye, as well as an extensive penetrating corneoscleral wound. Examination of the fundus after surgical treatment of the wound revealed a combined CRAVO.

The presented case describes a rare clinical condition involving the development of combined occlusion of the central retinal artery and vein against the background of globe and ocular adnexa trauma. Despite appropriate emergency treatment, the patient's delayed presentation resulted in persistently reduced visual function, which was attributed to irreversible ischemic and structural complications caused by vascular changes in the retina.