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Ocular ischemic syndrome is a rare condition, which is caused by ocular hypoperfusion due to stenosis or occlusion of the common carotid or internal carotid arteries. Atherosclerosis is the major cause of changes in the carotid arteries. Here we report a case of bilateral ocular ischemic syndrome in a 51 year old male who presented to us with complaint of defective vision in right eye. On examination patient was having neovascularization of iris in both eyes, neovascularization of the disc in left eye and mature cataract in right eye. Patient was suggested to undergo carotid doppler

and fundus fluorescein angiography. Carotid doppler showed severe carotid artery stenosis on both sides and Fundus  Fluorescein Angiography showed features suggestive of  ocular ischemic syndrome. Patient underwent panretinal  photocoagulation in left eye and is awaiting cataract surgery in right eye followed by repeat Fundus Fluorescein               Angiography.


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