|Year : 2020 | Volume
| Issue : 3 | Page : 176-177
3D: Decreased vision, dizziness, and disc edema
Ramanuj Samanta, Athul S Puthalath, Neeraj Saraswat, Ajai Agrawal
Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
|Date of Submission||15-Oct-2018|
|Date of Decision||09-Dec-2018|
|Date of Acceptance||25-Nov-2019|
|Date of Web Publication||2-Nov-2020|
Dr. Ramanuj Samanta
Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand
Source of Support: None, Conflict of Interest: None
|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
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|| |
- What are the abnormal retinal findings as shown in [Figure 1]a and [Figure 1]b and [Figure 2]a and [Figure 2]b?
- What are the likely differential diagnoses?
- What are the baseline systemic investigations required?
- How to ascertain systemic risks associated with it from such fundus findings?
| References|| |
Wong TY, Mitchell P. Hypertensive retinopathy. N Engl J Med 2004;351:2310-7.
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.
[Figure 1], [Figure 2]