Case presentation A 47-year-old female presented with sudden, painless loss of vision in the right eye for 4 days. She denied trauma or systemic infection. She had hypertension and hyperlipidemia, but no diabetes.
Medical history Hypertension (10 years) Hyperlipidemia (on statin therapy) Physical examination Visual acuity: counting fingers in the right eye, 6/6 in the left eye Pupils: relative afferent pupillary defect in the right eye Fundus examination: pale retina with attenuated arteries and a bright cherry-red spot at the macula Laboratory findings / Imaging Normal complete blood count Lipid profile: elevated LDL cholesterol MRI orbit: no compressive lesion Fundus fluorescein angiography: delayed arterial filling What can be the time-critical management for this patient? Scroll down to answer. (The correct answer is posted in the comment section below) ##Reference## …
