An unusual case of central retinal artery occlusion (CRAO) occurring in the setting of a chronic retinal detachment was reported. A 47-year old woman with a history of slowly declining peripheral vision in her left eye presented with acute painless hand motion vision. She had an extensive chronic retinal detachment in the left eye with multiple demarcation lines and marked whitening of the fovea. Her right eye was normal. A CRAO was confirmed with fluorescein angiography and optical coherence tomography testing. An exhaustive work-up was negative and there was no history of antecedent trauma.
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