Central retinal artery occlusion associated with severe ovarian hyperstimulation syndrome

PURPOSE. Ovarian hyperstimulation syndrome (OHSS) is a serious iatrogenic complication of ovulation induction. It is a potentially lethal condition, with severe complications which include ovarian enlargement, and massive fluid redistribution from the vascular system into free spaces resulting in ascites, pleural effusion, electrolyte imbalance hemoconcentration, hypovolemia, oliguria, and adult respiratory distress syndrome. Thromboembolism is a rare but extremely serious complication. CASE REPORT. We report a case of severe OHSS, presenting with central retinal artery occlusion (CRAO). DISCUSSION. This combination has not been reported previously.