DIAGNOSTIC QUIZ

Symptoms and Fundus Findings
Signal Serious Pathology

by Andrew S. Gurwood, O.D.

A 63-year-old white female had a chief complaint of blurry vision in her right eye at distance and near for the past six months. Her ocular history included no disease, injuries or surgeries. Her systemic history was notable for hypertension for the past 10 years. She was a smoker. Otherwise her history was unremarkable.

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Best corrected visual acuities were 20/100 O.D., 20/25 O.S. at distance and near. The external examination was normal with no evidence of an afferent pupillary defect. Refraction revealed myopia with astigmatism and presbyopia O.U. Biomicroscopy demonstrated normal anterior segment structures and open angles O.U. Goldmann applanation pressures measured 16mm Hg in both eyes. The photo shows the fundus appearance in the right eye.

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