title: Acute central retinal artery occlusion presenting as CREST syndrome: a case report.
abstract: BACKGROUND
  A 75 year old lady presented with acute central retinal artery occlusion and contralateral cotton wool spots.
  
  
  METHODS
  General physical examination and investigations led to a diagnosis of CREST syndrome; however, association of central retinal artery occlusion with CREST syndrome is not well known. While diabetes, systemic hypertension, carotid atherosclerosis and cardiac pathology are common causes of CRAO it is always important to rule out giant cell arteritis.
  
  
  CONCLUSIONS
  This case highlights that inflammatory causes of central retinal artery occlusion other than giant cell arteritis should also be considered as a possibility to spare unnecessary use of excessive systemic corticosteroids.
authors.affiliation: James Paget University Hospital NHS Foundation Trust, Lowestoft Road, Gorleston, Great Yarmouth NR31 6LA, Norfolk, UK. docraja@hotmail.com.
authors.forename: Muhammad Sa
authors.initials: MS
authors.lastname: Raja
authors.forename: Tarnya
authors.initials: T
authors.lastname: Marshall
authors.forename: Ben Jl
authors.initials: BJ
authors.lastname: Burton