Tomato ketchup retina is seen in
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 271 - 272)Central Retinal Vein Occlusion (CRVO)FeaturesNon-Ischemic CRVO Ischemic CRVO Epidemiology Most common (75%)Moderate visual acuity lossLess common (25%)Severe visual acuity lossPathogenesis Slight RAPD with mild touosity & dilatation of retinal veins Marked RAPD with severe touosity & engorgement of retinal veins Fundus finding Hemorrhages Dot blot & Flame shaped in all 4 quadrants & most numerous in periphery Extensive retinal hemorrhages (Blood & Thunder fundus)Cotton wool spots Few Numerous Disc & Macular edema Mild Severe with hyperemia Fundus Fluorescein Angiography Venous stasis Masking of retinal vascular bed by retinal hemorrhages & extensive area of capillary nonperfusion Prognosis Good Poor Management Treat predisposing factor Pan retinal photocoagulation
Central retinal aery occlusion
Central retinal vein occlusion
Coats disease
Sickle cell retinopathy
Vitreous and retina