History / Objective Data
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This case was submitted by Susannah Marcus, OD, Assistant Professor at the Southern College of Optometry. Thanks!!
A thirty seven year old black female presented to the clinic for her annual examination complaining only of "heaviness" OU while wearing her daily wear, soft contact lenses. Personal ocular history was only positive for nearsightedness, for which she had been corrected since earlychildhood. Personal medical history was positive for remissed hyperthyroidism, and she was not taking any medications. No know allergies were reported. Family ocular and medical histories were unremarkable.
Visual acuities with her contact lenses were 20/20 OD, and 20/30+ OS. OS visual acuity did not improve with pinhole. Externals revealed full confrontation visual fields, absence of afferent pupillary defect or other pupillary abnormalities, normal extraocular movements, and absence of strabismus.
Refractive error was measured as -6.00-0.50x160 OD (20/20), and -6.75-0.75x165 (20/30+). When questioned, the patient admitted that her left eye had always been slightly weaker than her right. Slit lamp exam was unremarkable except for ½ mm of corneal neovascularization 360 degrees OU, and reduced tear break up time of 5 seconds OU. Dilated fundus exam revealed normal findings OD, but uncovered the dramatic findings you see here.
What is this condition and how is it managed?
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Walt Mayo, OD
Technology Director
Southern Council of Optometry
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