Combined Central Retinal Artery & Central Retinal Vein Occlusion in Secondary APS

Abstract

Antiphospholipid syndrome (APS) is an autoimmune disorder characterized by either vascular thrombosis (arterial or venous) or pregnancy morbidity due to the presence of abnormal antibodies circulating in the blood. It is a hypercoagulable condition & systemic features of the syndrome can be varied depending upon the organ affected. Ocular Involvement occurs in upto 80-90% of APS in the form of amaurosis Fugax, retinal artery occlusion, retinal vein occlusion, optic neuropathy etc. Even though central retinal arterial obstruction (CRAO) and central retinal venous obstruction (CRVO) have been noted independently in APS (primary and secondary), combined CRAO and CRVO is one of the rarest presentation in APS. We are presenting a case of combined CRAO & CRVO as the initial presenting complaint in a 38yr old lady with secondary APS.