A 22 year old female presented with sudden loss of vision and protrusion of right eye following delivery of her first baby. On examination right eye was PL present PR accurate . A dilated fundus exam showed signs of combined central retinal artery and venous occlusion; dilated tortuous vessels with a cherry red spot , gross disc edema and hemorrhages. The left eye was within normal limits. Further imaging showed a right eye intraconal meningioma encasing the optic nerve. A diagnosis of compressive retinal vascular occlusion was made . As the mass may have increased in size rapidly during pregnancy.
A extreme guarded prognosis of right eye was explained to the patient and the patient was sent for an oculoplastic opinion for excision of mass ;if needed.