Ophthalmology
Case 5: A Patient with Deteriorating Vision in One Eye
CASE
A 67‐year‐old man was rubbing his left eye when he noticed his vision in the right eye was much worse than normal. He denied any eye pain. He wore bifocal spectacles and had been diagnosed with primary open angle glaucoma one year previously. He took eye drops for this (‘Xalatan’). He had no history of any eye operations. His type 2 diabetes is tablet‐controlled.
On examination, visual acuities were 6/60 (right eye), 6/6 (left eye). His intraocular pressures (IOP) were 21 mmHg and 18 mmHg in the right and left eyes respectively. Dilated fundal examination of the right eye revealed dilated and tortuous retinal veins, a swollen optic disc, widespread intraretinal haemorrhages and retinal oedema. In the left eye, there was generalized constriction of the retinal arterioles and a couple of intraretinal haemorrhages. His BP was 184/105 mmHg.
QUESTION 1
Your score this session: 0 of 0
What is the likely diagnosis for the right eye?