We describe the fundus autofluorescence (FAF) findings in a case of central retinal artery occlusion (CRAO). A 58-year-old woman presented with acute visual loss in the right eye. Best corrected visual acuity was counting fingers in the right eye and 20/20 in the left eye. Fundus examination revealed retinal edema and pallor in the posterior pole except a localized area corresponding to cilioretinal artery. FAF imaging indicated hypoautofluorescence at the posterior pole except the cilioretinal artery zone having a normal autofluorescence. By microperimetry, a generalized dense scotoma was found except the localized area having a relatively decreased retinal sensitivity, corresponding to cilioretinal artery zone depicted by FAF. At the 3rd month control, FAF imaging revealed relatively increased autofluorescence at the posterior pole and microperimetric evaluation revealed significant improvement in the areas of scotoma. In the present case, FAF imaging and microperimetric examination displayed a good correlation. FAF imaging may reveal characteristic findings and display functional changes in patients with CRAO in the acute and late stage.

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