Case challenge · Ophthalmology / Neurology / Emergency · teaching

Central Retinal Artery Occlusion (CRAO) — Pathway · case challenge

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Case #1Ophthalmology / Neurology / Emergency

📋 Case data

Manage as strokeSuspected predominantly arteritic (GCA)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Manage as stroke

Sudden painless monocular vision loss — predominantly arteritic?

💡 An 'eye stroke' = acute ischemic stroke of the retina. Sudden painless monocular vision loss (within seconds), relative afferent pupillary defect (RAPD), fundus showing retinal pallor + a cherry-red macula ± a visible embolus. Usually a carotid/cardiac embolus (ipsilateral carotid disease in ~50%), or giant cell arteritis (arteritic).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.