Case report: Central retinal artery occlusion following scleral buckling surgery with secondary angle closure and recurrent acute ocular hypertension - Takeaways - MDSpire

Case report: Central retinal artery occlusion following scleral buckling surgery with secondary angle closure and recurrent acute ocular hypertension

  • By

  • Jing Chen

  • Ling Zhang

  • July 2, 2026

  • 0 min

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  • 1

    Central retinal artery occlusion (CRAO) can occur after scleral buckling surgery, posing a risk of severe visual loss.

  • 2

    A patient developed recurrent ocular pain, intraocular pressure spikes, and secondary angle closure following retinal detachment surgery.

  • 3

    Fundus examination revealed retinal whitening and delayed arterial filling, indicating CRAO with focal choroidal hypoperfusion.

  • 4

    Treatment included anterior chamber paracentesis, IOP-lowering therapy, and oxygen therapy, leading to normalized IOP.

  • 5

    The case highlights the importance of monitoring IOP and anterior chamber configuration after scleral buckling surgery.

Original Source(s)

Case report: Central retinal artery occlusion following scleral buckling surgery with secondary angle closure and recurrent acute ocular hypertension

  • by Jing Chen, Ling Zhang

  • July 2, 2026

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