A patient with a medical history of type 2 diabetes, high cholesterol, high blood pressure, hypothyroidism and lung cancer presents with unilateral blurred vision. What could be the cause?
Unaided Visual Acuity: R CF (PHNI) L 6/24 PH 6/12
Pupils: no RAPD
IOPs: R & L 14mmHg
Gross Cystoid Macular Oedema (CMO) and subretinal fluid due to Central Retinal Vein Occlusion (CRVO), most likely ischemic nature due to the poor VA.
Referral to retinal specialist same day for further examination and treatment.
Commenced loading does of Eylea every month for three months then extend by every fortnight intervals at each review (e.g. 4 weeks, 6 weeks then 8 weeks) until treatment dosing is 6 monthly then cease.