Dr.GEETHU GOPINATH, G20157
45 year old female, known case of vasculitis (HSP), hypertention, dyslipidemia presented to emergency department with sudden onset painless loss of vision of right eye intermittent episodes since 2 days. Gives history of three similar episodes in the past in 2 years in same eyefor which no treatment was sought.
On examination, vision in right eye -no PL, RAPD+
Fundus examination showed sclerosed vessels with cattle truck sign and disc pallor. She was started on antiplatelets, vision improved to CF 3m with normal fundus appearance in 2 weeks of treatment, which suddenly deteriorated to hand movements after stopping antiplatelets as she was suspected to have exacerbation of HSP (drug induced). Fundus showed total occlusion of vessels with worsening of disc pallor with no improvement of vision on follow up.
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