10/11/2023 0 Comments Why do we dredge up the pastThe retinal exam of the left eye was completely normal.įig. An OCT was performed and is available for review ( see red arrow in Figure 2). Upon careful examination, a suspicious orange area was noted temporal to that lesion ( see yellow arrow in Figure 1). There was a large fibrotic scar with areas of pigment surrounding in the macula ( Figure 1). On dilated fundus exam of the right eye, a posterior vitreous detachment was present. The anterior segment exam was unremarkable except for mild cataracts OU, and there were no cells or flare in either eye. Pupils were equal, round and reactive, but there was an afferent pupillary defect in the right eye. Confrontation visual fields were full-to-careful finger counting OU. Upon exam, best-corrected visual acuity was 20/200 OD and 20/20 OS. His medical history was significant for a stroke involving the left hemisphere, also four years prior, as well as Type 2 diabetes, which was diagnosed nine years ago and is being treated with metformin and insulin injections. In the accident, he was hit on the right side of his body and reported having sudden vision loss in the right eye. He reported seeing floaters that began two years prior his past ocular history was also significant for a motor vehicle accident that occurred four years earlier. A 59-year-old African-American male presented with blurry vision and a central spot in his right eye for the past four years.
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