VRSI IMAGE AND VIDEO COMPETITION

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Title: Impeding STBRVO with macular oedema: When your eye cries out for help, one must be 'all ears'!

Description: A middle aged female presented to the OPD with diminution of vision in right eye for past 7 days. Fundus examination findings showed supero-temporal AV crossing changes with macular hard exudates and oedema. On FFA we could clearly visualise the artery compressing the vein with leakage of dye in late phase extending into the macular region. On systemic evaluation the patient was found to be hypertensive with deranged lipid profile. She was advised injection anti VEGF for macular oedema and a physician consult for commencing the treatment for her systemic condition. The macular oedema resolved and patient gained good vision after which she was lost to follow up. Later she presented to us with frank STBRVO with severe cystoid macular oedema and hard exudates after 3 months. Despite a physician reference patient was not started on anti hypertensives and landed up with permanent visual damage.