DIGITAL GRAND ROUNDS

Common Symptom
Yields Surprising Result

Edited by Walt Mayo, O.D.

A 52-year-old black male presented with complaints of reduced vision in both eyes. He

The dilated fundus examination found these disk abnormalities.

did not report any personal or family history of eye disease, or any significant systemic history.

"How would you approach this case? Read on for further details about the visit. Then test your clinical skills by clicking here for the answer and clicking on Case 116, or calling our Digital Grand Rounds phone line, 610-964-4393 and enter this month's code, 1.

This patient's habitual correction gave him vision of 20/30 O.D. and 20/40 O.S. Refraction revealed a small increase in myopia and astigmatism. Best correction resulted in solid 20/20 vision O.U.

Extraocular muscle and pupil responses were normal. Intraocular pressures were 13mm Hg O.D., 14mm Hg O.S. Biomicroscopy showed normal corneas, anterior chambers, iris structures and lenses in both eyes.

Dilated fundus examination of the left eye showed the disk findings seen in the photo. The right eye was normal.

What is your diagnosis? How would you manage this patient? Are there any additional tests that you would like to perform?

What is your diagnosis? How would you manage this patient? Are there any additional tests that you would like to perform? For answers, follow the instructions in the box below.

Dr. Mayo, a private practitioner in Georgetown, S.C., is technology director for the Southern Council of Optometrists. You may contact him at waltmayo@aol.com or waltmayo@sccoast.net.

TWO WAYS TO GET YOUR ANSWER

Check your diagnosis on our web site:
Using your web browser, access URL www.optcom.com.
Go to Case #116.

Check your diagnosis by phone:
Using a TouchTone telephone, dial (610) 964-4393.
After you hear the instructions, enter this month's code: 1
You'll hear a recorded message explaining the diagnosis, tests and management.

Cost of the call depends on long-distance rates from your area.