Diagnostic Quiz
Floaters and Haze
Clouded her Gaze
Andrew S. Gurwood, O.D.
A 37-year-old white female presented with mild unilateral pain, blurred vision and a recent onset of floating spots in her left eye. She described her vision as hazy. Clinical findings included iritis and mild vitritis in the involved eye. The only other pertinent historical data was the fact that she lived on a farm. So she had plenty of exposure to animals.
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A 37-year-old female complained of unilateral pain and blurred vision in her left eye. Floating spots accompanied the presentation. The exam unveiled these appearances. |
How would you approach this case? Read on for details about the exam. Then test your clinical skills by comparing your diagnosis and management plan with those of the author.
Best corrected visual acuities were 20/20 O.D., 20/40 O.S. at distance and near. The photos above depict the assessment of the anterior and posterior segment in the left eye. There was no evidence of afferent pupillary defect. Refraction revealed clinical emmetropia. The right eye had normal anterior and posterior segment structures. The angles were open in both eyes. Goldmann applanation pressures measured 16mm Hg in both eyes.
Are there any additional tests that you require? What is your diagnosis? How would you manage this patient? What patient education would you provide? What’s the expected course of resolution?
July 15, 2000