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 Table of Contents    
CLINICAL QUIZ
Year : 2014  |  Volume : 7  |  Issue : 3  |  Page : 158  

A 48-year-old female with sudden onset of painless diminution of vision in left eye


Department of Ophthalmology, Pravara Institute of Medical Sciences and Rural Medical College, Loni, Ahmednagar, Ahmednagar District, Maharashtra, India

Date of Web Publication11-Oct-2014

Correspondence Address:
Akshay J Bhandari
Department of Ophthalmology, Pravara Institute of Medical Sciences and Rural Medical College, Loni, Ahmednagar, Ahmednagar District - 413 736, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.142605

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How to cite this article:
Bhandari AJ, Bangal SV, Padghan D, Pratik G. A 48-year-old female with sudden onset of painless diminution of vision in left eye . Oman J Ophthalmol 2014;7:158

How to cite this URL:
Bhandari AJ, Bangal SV, Padghan D, Pratik G. A 48-year-old female with sudden onset of painless diminution of vision in left eye . Oman J Ophthalmol [serial online] 2014 [cited 2020 Nov 29];7:158. Available from: https://www.ojoonline.org/text.asp?2014/7/3/158/142605

A 48-year-old female came to ophthalmology outpatient department with sudden onset painless diminution of vision in left eye since last 4 days, which was not associated with trauma, floaters, flashes of light, blurring of vision or any other ocular complaints. On general examination patient's pulse was 76/min that was regularly regular, and blood pressure was found to be 200/120. On ophthalmic examination, the distant vision in left eye was finger counting close to face that was not improved with refraction and in right eye was 6/6. In left eye, anterior segment examination was normal except for relative afferent pupillary defect and early cortical cataract, while fundus examination revealed findings shown in [Figure 1] and [Figure 2].
Figure 1: Fundus photograph left eye day 3 after admission

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Figure 2: Fundus photograph right eye

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   Questions Top


  1. Describe the findings in [Figure 1] and [Figure 2]?
  2. What is the most likely diagnosis?
  3. What all investigations will you do to confirm the diagnosis?




Click here to view answer. View Answer


 
   References Top

1.
Ryan SJ. Retina. 4 th ed. Vol. 1. China: Elsevier publication; 2006. Chapter 69, Retinal Artery Obstruction; p. 1323-38.  Back to cited text no. 1
    
2.
Augsburger JJ, Magargal LE. Visual prognosis following treatment of acute central retinal artery obstruction. Br J Ophthalmol 1980;64:913-7.  Back to cited text no. 2
[PUBMED]    
3.
Hayreh SS, Zimmerman MB. Central retinal artery occlusion: Visual outcome. Am J Ophthalmol 2005;140:376-91.  Back to cited text no. 3
    
4.
Robert H, Enoch HE. Medicine- Central Retinal artery occlusion; January 2007.  Back to cited text no. 4
    
5.
Rumelt S, Brown GC. Update on treatment of retinal arterial occlusions. Curr Opin Ophthalmol 2003;14:139-41.  Back to cited text no. 5
    
6.
Werner D, Michalk F, Harazny J, Hugo C, Daniel WG, Michelson G. Accelerated reperfusion of poorly perfused retinal areas in central retinal artery occlusion and branch retinal artery occlusion after a short treatment with enhanced external counterpulsation. Retina 2004;24:541-7.  Back to cited text no. 6
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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