Ophthalmic Artery Occlusion Without Retinal Manifestations

Ophthalmic artery occlusion typically results in ischemia to both the retina and the optic nerve. Typical early manifestations include retinal whitening without cherry red spot and late manifestations include diffuse disc pallor, severe attenuation of retinal vessels, diffuse opacification of the retina with a ′featureless′ appearance, and RPE changes. We report an unusual patient with ophthalmic artery occlusion confirmed by catheter cerebral angiography. His optic nerve, retina and retinal vasculature initially had a normal appearance. Optic nerve pallor developed a month later, but his retina did not show any abnormalities.