|Year : 2017 | Volume
| Issue : 3 | Page : 262
Progressive visual loss with systemic symptoms in an adult
Sitara Azeem, Mohamed Al-Abri, Ahmed Al-Hinai, Nawal Al-Fadhil
Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman
|Date of Web Publication||5-Oct-2017|
Department of Ophthalmology, Sultan Qaboos University Hospital, P. O. Box: 38, P. C. 123, Al Khoud, Muscat
Sultanate of Oman
Source of Support: None, Conflict of Interest: None
|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
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.
| Questions|| |
- What are the findings in [Figure 1],[Figure 2],[Figure 3]?
- What is the differential diagnosis?
- What further work up (ocular and systemic) is required?
| Answers for Clinical Quiz|| |
[Figure 1], [Figure 2], [Figure 3]