A 65-year-old man presented with complaints of gradually decreasing visual acuity OD for 4 months, accompanied by a dull ache around the right eye for 3-4 weeks. There was no history of headache or transient, sudden loss of vision.
He had a history of hypertension, hyperlipidemia (both controlled with medication), myocardial infarction and intermittent claudication (for which he had undergone bilateral ileofemoral bypass and was currently on warfarin). He smoked 20 cigarettes per day.
There was no significant past ocular history.
He had a family history of hypertension, hyperlipidemia and myocardial infarction.