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Here you’ll find interesting cases of eye conditions along with news and developments in the ophthalmology world.

Cases are presented as an initial image with history and examination. Health practitioners are encouraged to deduce the condition, before further investigations, diagnosis and management are presented.

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Colour fundus photograph shows pallor of the right retina with a cherry red spot at the macula.

Case 9

Figure 1. Colour fundus photograph shows pallor of the right retina with a cherry red spot at the macula.

Author: Michael Chilov     Editor: Adrian Fung

A 76-year-old man was referred with acute painless visual loss in his right eye.

Case history

A 76-year-old male was referred by his general practitioner with acute painless vision loss in his right eye.

The patient reported having cataract surgery in both eyes 5 years ago but had no other ongoing ophthalmic complaints. Past medical included hypertension and hypercholesterolaemia treated with Coversyl® (perindopril) and Lipitor® (simvastatin) respectively.

Blood pressure was 158/ 94 mmHg and pulse was regular. Visual acuity was hand movements (HM) in the right eye (OD) and 6/6 in the left eye (OS). Prior to dilation a right relative afferent pupil defect (RAPD) was noted. The fundus examination demonstrated the right retina to be pale with a cherry red spot at the macula. An embolus was seen at the bifurcation of the inferior retinal arteriole (Figure 1).

Magnified view of the right optic disc shows an embolus at the bifurcation of the inferior retinal arteriole.

Figure 2. Magnified view of the right optic disc shows an embolus at the bifurcation of the inferior retinal arteriole.

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