Title: Bilateral CRAO as a presenting feature of Systemic Lupus Erythematosus in a young female
Description: A young female presented to OPD with a history of diminished vision since 10 days. She had no Systemic illness except for hospital Admission for 3 weeks for unexplained fever. Fundus photo showed Bilateral CRAO with intra-retinal hemorrhages with left eye more severely involved than Right eye. FFA shows Increased Arm to retina time with increased Arterial to venous Transit time with ischemic macula and extensive non Perfusion areas involving posterior pole and periphery with large vessel staining. All the Blood investigations were normal including Serum homocysteine and Antiphospholipid Antibody( APLA) . So , this is a case of Bilateral CRAO as a presenting feature of Systemic Lupus Erythematosus.
