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 Table of Contents    
CLINICAL QUIZ
Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 102  

Progressive Painless Loss of Vision - What is the diagnosis?


Department of Ophthalmology, Armed Forces Hospital, Oman

Date of Web Publication19-Jul-2014

Correspondence Address:
Radha Shenoy
Department of Ophthalmology, Armed Forces Hospital
Oman
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Source of Support: None, Conflict of Interest: None


Read associated Erratum: Erratum with this article

DOI: 10.4103/0974-620X.137176

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How to cite this article:
Shenoy R, Al Barwani B, Al Saidi R. Progressive Painless Loss of Vision - What is the diagnosis?. Oman J Ophthalmol 2014;7:102

How to cite this URL:
Shenoy R, Al Barwani B, Al Saidi R. Progressive Painless Loss of Vision - What is the diagnosis?. Oman J Ophthalmol [serial online] 2014 [cited 2019 Aug 26];7:102. Available from: http://www.ojoonline.org/text.asp?2014/7/2/102/137176

A 55-year-old hypertensive lady presented to the clinic with progressive Painless loss of vision in both eyes. On examination the best corrected visual acuity in both eyes was 1/60. Slit lamp examination showed normal anterior segment. Fundus examination showed CDR of 0.3, blood vessels was normal with dull or distorted foveal reflex surrounded by a grey zone in both eyes [Figure 1]. An initial diagnosis of Age-Related Macular Degeneration (dry type) was made. However fundus fluorescein angiography and optical coherence tomography ( OCT ) findings were not consistent with the diagnosis of Age related macular degeneration and optical coherence tomography (OCT) findings [Figure 2], [Figure 3], [Figure 4].
Figure 1: (a and b) Fundus picture of both eyes

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Figure 2: (a) Early phase fundus fluorescein angiogram left eye (b) Late phase fundus fluorescein angiogram left eye

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Figure 3: (a) Early phase fundus fluorescein angiogram right eye (b) Late phase fundus fluorescein angiogram right eye

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Figure 4: (a and b) Optical Coherence Tomogram of both eyes

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   Questions Top


  1. What is the possible diagnosis?
  2. What are the different groups? To which group do you think that our patient belongs?
  3. What do you see on the Fundus Fluorescein angiogram?
  4. What are the salient and distinguishable features (Clinical/Fluorescein angiographic and or Optical coherence tomographic) particular to our patient 's group?
  5. What do you see in the OCT of the macula?
  6. What salient features on OCT aid in the diagnosis of the particular group of our patient?
  7. Name the most specific, and sensitive test that would have aided in early diagnosis in our patient
  8. Name two other new tests that can aid in early diagnosis other than Fluorescein angiogram and OCT.




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    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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