Pt presents with sudden, painless loss of vision in ___ eye.
Denies recent trauma, headache, slurred speech, motor and sensory deficits. Denies eye pain. Does not wear contact lenses or glasses. Denies h/o stroke.
Afferent pupillary defect and significantly reduced visual acuity in affected eye (> 20/200). No carotid bruits.

Workup: ECG, CBC, coag panel, echocardiogram (for emboli), and carotid US.
Therapies:
Administered digital pressure followed by a sudden release.
Timolol ophthalmic 0.5% to decrease intraocular pressure.
Consult: Ophthalmology

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PE Hallmarks: Cherry red spot on fovea, APD

Pearls:

• The evaluation of CRAO in a patient < 50 years of age should include: an assessment for hypercoaguability, vascultis, and myeloproliferative disorders.
• Think of CRAO as the ocular equivalent of a stroke in importance!

Disposition:

• Discharge with ophtho follow up in 1-4wk