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CLINICAL QUIZ
Year : 2017  |  Volume : 10  |  Issue : 3  |  Page : 262  

Progressive visual loss with systemic symptoms in an adult


Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman

Date of Web Publication5-Oct-2017

Correspondence Address:
Sitara Azeem
Department of Ophthalmology, Sultan Qaboos University Hospital, P. O. Box: 38, P. C. 123, Al Khoud, Muscat
Sultanate of Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_110_2017

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How to cite this article:
Azeem S, Al-Abri M, Al-Hinai A, Al-Fadhil N. Progressive visual loss with systemic symptoms in an adult. Oman J Ophthalmol 2017;10:262

How to cite this URL:
Azeem S, Al-Abri M, Al-Hinai A, Al-Fadhil N. Progressive visual loss with systemic symptoms in an adult. Oman J Ophthalmol [serial online] 2017 [cited 2018 Jun 25];10:262. Available from: http://www.ojoonline.org/text.asp?2017/10/3/262/215987

A 45-year-old male patient presented with 2 weeks history of flu-like illness, tiredness, occipital headache, and painless progressive blurring of vision OS > OD. Past ocular and medical history were unremarkable.

Best-corrected visual acuity was 6/15 (+0.75) OD and 6/90 (+1.00) OS Color vision was 2/17 OD and 0/17 OS. Anterior segment examination was unremarkable. A relative afferent pupillary defect OS was noted. Dilated fundus examination revealed abnormal findings OU [Figure 1]. Optical coherence tomography (OCT) macula revealed abnormalities as shown in Figures 2 and 3. Systemic review by the internist was reported unremarkable.
Figure 1: Fundus photograph of right eye and left eye

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   Questions Top


  1. What are the findings in [Figure 1],[Figure 2],[Figure 3]?
  2. What is the differential diagnosis?
  3. What further work up (ocular and systemic) is required?
Figure 2: Optical coherence tomography of the right eye

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Figure 3: Optical coherence tomography of the left eye

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   Answers for Clinical Quiz Top




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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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