|Year : 2018 | Volume
| Issue : 2 | Page : 187
Sudden paracentral scotoma in a middle-aged male
Reem Al Motaem, Mohammed Al Abri
Finland Eye Center, Muscat, Oman
|Date of Web Publication||28-May-2018|
Reem Al Motaem
Finland Eye Center, Muscat
Source of Support: None, Conflict of Interest: None
|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
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|| |
- What are the abnormal retinal findings as shown in [Figure 1]a,[Figure 1]b,[Figure 1]c?
- What is the differential diagnosis?
- What is most likely the diagnosis based on history, clinical examination, and investigations?
- What is the proper management in such case?
For answers please see page 192.