Occlusion of the macular branch of the central retinal artery

We report a 54 years old female, on oral anticoagulant treatment with a mitral valve disease, with a history of two transient ischemic attacks and a decreased visual acuity. She was assessed by an ophthalmologist and signs of retinal vascular disease were found. During follow zip, the patient experienced an acute unilateral loss of vision in the left eye. Fundoscopy revealed an obstruction of a macular branch of central retinal artery . Aspirin was added to oral anticoagulants and one month later, the patient experienced an upper gastrointestinal bleeding. After our months of follow, up, there is no recovery of left eye vision.