DIAGNOSTIC QUIZ
Blurred Vision Follows Steady Weight Gain
Andrew S. Gurwood,
O.D.
History
History A 37-year-old black female presented complaining of increased episodes of transient, blurred vision in both eyes over the last 2 months. She said these episodes typically occurred when she stood up and lasted for 20-30 seconds. She denied headaches, tinnitus or nausea but reported a 20-pound weight gain over the past 8 months. The patient was 5 feet 4 inches tall and weighed 192 pounds.
Diagnostic Data
Best-corrected acuity was 20/20 O.U. at distance and near. External examination, pupil exam and anterior segment examination were all normal. IOP was 16mm Hg O.U. The pertinent dilated fundus findings are shown in the photographs.
Your Diagnosis
How would you approach this case? Does this patient require any additional tests? How would you manage this patient? What is her likely prognosis? To check your diagnosis, call the “Diagnostic Quiz” phone line at (610) 492-1050, or check Review of Optometry OnLine at www.revoptom.com.
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The dilated fundus exam revealed these findings in a patient who presented with episodes of transient blurred vision (O.D. left, O.S. right).
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December 15, 2000