History / Objective Data
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A 69 y/o white female presented with complaints of sudden loss of vision in her right eye just three days before. She was brought to the office from the local hospital suffering from complications secondary to suspected stroke.
She had a history of cataract extraction and subsequent YAG capsulotomy in both eyes, with the procedures taking place from 1992 to 1996. Her ocular health and vision had been good at her last check up 18 months prior.
Her best corrected acuity today was HM in the right eye and 20/30 in the left. Pupil response was normal in both eyes.
Anterior segment evaluation with biomicroscopy was normal in both eyes. Both IOLs were centered and in place. No cell or flare was present. Her corneas were clear, as well.
Her IOP was checked and found to be 10mm Hg in each eye.
EOMs were normal.
Dilated fundus examination showed a normal retina in the left eye, but the OD appeared as in this photo.
What is this condition?
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Walt Mayo, OD
Technology Director
Southern Council of Optometry
PO Drawer L / 400 Marina Drive
Georgetown, South Carolina 29442
WK: 803/546-8421
HM: 803/650-0140
FAX: 803/546-1173
Email: waltmayo@sccoast.net