PMC6662444_01
(a)Fundus photo and OCT of macula (b) at initial presentation. Note the well-described perifoveolar capillary plexus in both superficial and deep plexus (c and d).
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Dilated fundus examination revealed normal findings (Figure 1(a)). The patient was advised for OCT angiography (Topcon Medical Systems -Triton  DRI PLUS SS-OCT) which was normal (Figures 1(b), 1(c), and 1(d)).
(a) "Ghost-" like cilioretinal vessel(Boxed) impression secondary to occlusion. Note the loss of the perifoveolar capillary plexuses in both superficial and deep plexus (b)and (c) with edema of the perimacular nerve fibre layer(d).
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There were arteriolar attenuation and segmentation of blood column within the arterioles (Figure 2(a)). OCTA revealed loss of capillary plexus in both superficial and deep retinal layers (Figures 2(b) and 2(c)). Optical coherence tomography revealed massive retinal thickening due to edema with disorganized retinal elements (Figure 2(d)).