case_images: PMC10123886_01
case_images: CT scan of the patient's face showing intraconal fat stranding in the right eye (arrows) in the (A) horizontal plane and (B) coronal plane.
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case_images: C, and a hemoglobin A1c of 6.1% was noted. Computed tomography (CT) scan of the face and orbits (Figure 1) showed marked fat stranding, soft-tissue thickening, and edema of the periorbital nasal bridge and right nasal bone.
case_images: Color fundus photo of the right eye from handheld 20 diopters lens. (A) 20 D lens provides an Indirect view of the fundus, with a "flipped and reverse" image; therefore, the optic nerve (asterix) is to the right and the flame hemorrhage (check) is in the inferior arcade of the retina. Typical characteristics of central retinal artery occlusion are seen including cherry-red spot (M), retinal edema denoted by the overall white surrounding the macula (MI), flame hemorrhages, and optic nerve pallor. Also note the incomplete blood column or box-caring of the vessels (arrow). (B) Supero-temporal view of fundus showing additional findings of retinal vein occlusion, including macular edema, vein tortuosity, aneurysmal dilation-beading (arrow), and vein flame hemorrhage. Courtesy of C. Prospero Ponce, MD.
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case_images: Evidently, the findings were consistent with both central retinal artery and vein occlusion (Figure 2).
case_images: Magnetic resonance imaging of the brain showing bulging of the optic disk and thickening of the right optic nerve (arrow).
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case_images: The MRI reflected the bulging of the optic disc and thickening of the right optic nerve as seen in Figure 3.