|Year : 2014 | Volume
| Issue : 2 | Page : 102
Progressive Painless Loss of Vision - What is the diagnosis?
Radha Shenoy, Badar Al Barwani, Rashid Al Saidi
Department of Ophthalmology, Armed Forces Hospital, Oman
|Date of Web Publication||19-Jul-2014|
Department of Ophthalmology, Armed Forces Hospital
Source of Support: None, Conflict of Interest: None
|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
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 2: (a) Early phase fundus fluorescein angiogram left eye (b) Late phase fundus fluorescein angiogram left eye|
Click here to view
|Figure 3: (a) Early phase fundus fluorescein angiogram right eye (b) Late phase fundus fluorescein angiogram right eye|
Click here to view
| Questions|| |
- What is the possible diagnosis?
- What are the different groups? To which group do you think that our patient belongs?
- What do you see on the Fundus Fluorescein angiogram?
- What are the salient and distinguishable features (Clinical/Fluorescein angiographic and or Optical coherence tomographic) particular to our patient 's group?
- What do you see in the OCT of the macula?
- What salient features on OCT aid in the diagnosis of the particular group of our patient?
- Name the most specific, and sensitive test that would have aided in early diagnosis in our patient
- Name two other new tests that can aid in early diagnosis other than Fluorescein angiogram and OCT.
[Figure 1], [Figure 2], [Figure 3], [Figure 4]