Simultaneous Bilateral Central Retinal Artery Occlusions: Partial Recovery With Multimodal Therapy

Central retinal artery occlusion (CRAO) is a rare cause of sudden, profound vision loss, and bilateral involvement is exceptionally uncommon, with no clearly established optimal management. We describe a patient who developed near-simultaneous, painless vision loss in both eyes and underwent urgent multidisciplinary assessment followed by systemic and ocular therapies intended to restore perfusion and limit ischemic injury. Although partial visual recovery was achieved, the course was complicated by retinal neovascularization requiring treatment and resulting in severe long-term visual impairment. This case underscores the diagnostic urgency, therapeutic uncertainty, and importance of close longitudinal follow-up in bilateral CRAO.