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 Table of Contents    
CLINICAL QUIZ
Year : 2018  |  Volume : 11  |  Issue : 2  |  Page : 187  

Sudden paracentral scotoma in a middle-aged male


Finland Eye Center, Muscat, Oman

Date of Web Publication28-May-2018

Correspondence Address:
Reem Al Motaem
Finland Eye Center, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_108_2017

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How to cite this article:
Al Motaem R, Al Abri M. Sudden paracentral scotoma in a middle-aged male. Oman J Ophthalmol 2018;11:187

How to cite this URL:
Al Motaem R, Al Abri M. Sudden paracentral scotoma in a middle-aged male. Oman J Ophthalmol [serial online] 2018 [cited 2018 Nov 20];11:187. Available from: http://www.ojoonline.org/text.asp?2018/11/2/187/233301



A 40-year-old male presented with a 1-day history of the right eye paracentral scotoma.

Medical history revealed diabetes mellitus (DM) for 10 years and hyperlipidemia, on medications.

Best-corrected visual acuity was 20/20 (with − 0.75–0.75 × 90) OD and 20/20 (with − 0.75–0.75 × 80) OS.

Intraocular pressure (IOP) (mmHg) was 21 OD and 22 OS. Anterior segment examination was unremarkable OU.

Dilated funds examination revealed abnormal findings OD [Figure l]a along with optical coherence tomography (OCT) macula [Figure 1]b, otherwise mild nonproliferative diabetic retinopathy changes OU. His systemic review was unremarkable.
Figure 1: (a) Fundus photograph, (b) macular optical coherence tomography, (c) late phase of fundus fluorescein

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   Questions Top


  1. What are the abnormal retinal findings as shown in [Figure 1]a,[Figure 1]b,[Figure 1]c?
  2. What is the differential diagnosis?
  3. What is most likely the diagnosis based on history, clinical examination, and investigations?
  4. What is the proper management in such case?


For answers please see page 192.





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    Figures

  [Figure 1]



 

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