DOI: 10.36347/SJMCR.2019.v07i10.011

Pages: 629-630

We describe branch retinal artery occlusion in a 47-year-old man with secondary hyperhomocysteinemia. He was a habitual smoker and drinker with no history of hypertension or hyperlipidemia. Thorough systemic investigations revealed elevated serum homocysteine levels. We instructed the patient to consume a balanced diet and prescribed him oral pyridoxine. In order to prevent potentially fatal thromboembolic and atherosclerotic events in the future, it is important to always consider the measurement of plasma homocysteine levels while treating young patients with ocular vascular diseases.