Abstract

A 50y/M, on erratic medications for diabetes and hypertension came with the complaint of sudden diminution of vision in both eyes since 5 days. On ophthalmic examination, patient had a vision of 6/60 in both the eyes, with sluggish pupillary reaction. On fundoscopic examination, patient had the picture of bilateral central retinal vein occlusion with macular edema, confirmed on OCT Macula. Blood investigations were done to rule out systemic causes. Blood pressure was found to be significantly high apart from rest normal investigations, thus making the diagnosis of bilateral central retinal vein occlusion in the setting of hypertensive retinopathy.