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 Table of Contents    
CLINICAL QUIZ
Year : 2020  |  Volume : 13  |  Issue : 3  |  Page : 176-177  

3D: Decreased vision, dizziness, and disc edema


Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Date of Submission15-Oct-2018
Date of Decision09-Dec-2018
Date of Acceptance25-Nov-2019
Date of Web Publication2-Nov-2020

Correspondence Address:
Dr. Ramanuj Samanta
Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_222_2018

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How to cite this article:
Samanta R, Puthalath AS, Saraswat N, Agrawal A. 3D: Decreased vision, dizziness, and disc edema. Oman J Ophthalmol 2020;13:176-7

How to cite this URL:
Samanta R, Puthalath AS, Saraswat N, Agrawal A. 3D: Decreased vision, dizziness, and disc edema. Oman J Ophthalmol [serial online] 2020 [cited 2020 Nov 28];13:176-7. Available from: https://www.ojoonline.org/text.asp?2020/13/3/176/299784



A 45-year-old male presented with sudden onset diminished vision in both eyes for the last 2 weeks associated with occasional headache and dizziness for the last 2 months.

Medical history revealed an attack of hemorrhagic cerebrovascular accident 1 year back and was started on antihypertensive medication.

On examination, best-corrected visual acuity was 20/120 in both eyes. Intraocular pressure was 10 and 12 mm of Hg in the right and left eye, respectively. Anterior-segment evaluation was normal.

Dilated fundus examination revealed abnormal findings in both eyes as shown in [Figure 1]a and [Figure 1]b. Optical coherence tomography (OCT) findings are shown in [Figure 2]a and [Figure 2]b.
Figure 1: (a and b) Fundus photograph of the right and left eye, respectively

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Figure 2: (a and b) Optical coherence tomography picture of the right and left eye, respectively

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   Questions Top


  1. What are the abnormal retinal findings as shown in [Figure 1]a and [Figure 1]b and [Figure 2]a and [Figure 2]b?
  2. What are the likely differential diagnoses?
  3. What are the baseline systemic investigations required?
  4. How to ascertain systemic risks associated with it from such fundus findings?






Click here to view answer. View Answer




 
   References Top

1.
Wong TY, Mitchell P. Hypertensive retinopathy. N Engl J Med 2004;351:2310-7.  Back to cited text no. 1
    
2.
Rubin S, Cremer A, Boulestreau R, Rigothier C, Kuntz S, Gosse P. Malignant hypertension: Diagnosis, treatment and prognosis with experience from the Bordeaux cohort. J Hypertens 2019;37:316-24.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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