A 64-year-old man with a known history of diabetes and hypertension presented to the Accident and Emergency Department with a 2-day history of sudden decreased vision in the right eye. Temporal arteritis was suspected with an elevated erythrocyte sedimentation rate (71 mm/h), and oral prednisolone was started immediately. Four days later, the patient's right eye vision deteriorated from 0.6 to ...

To cite: Parchand SM, Vijitha VS, Misra DP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016218848 DESCRIPTION A girl aged 16 years presented with sudden loss of vision in the left eye (LE) for 1 day. Visual acuity was 6/6 in the right eye (RE) and perception of light in LE. LE had relative afferent pupillary defect. RE fundus had cotton wool spots (figure 1A)...

A 45-year-old man with unremarkable past medical history presented with decreased vision following cataract surgery and piggy back intraocular lens (IOL) implantation in the right and left eyes, 5 and 3 weeks before respectively (Fig. 1). Calculated IOL power had been 50 D and 52 D in his right and left eyes respectively. Best corrected visual acuity was 20/200 in the right eye and 20/800 in th...

BACKGROUND Central retinal artery occlusion (CRAO) is an ocular emergency and most of the cases present with painless sudden persistent loss of vision in the range of counting fingers to perception of light. The presentation of CRAO is associated with a variety of medical conditions. We report a rare case of CRAO associated with persistent truncus arteriosus (PTA) and single atrium in a female ...

intermittent blurring of vision confined to the left eye over a period of 12 months. It did not stop him from reading or driving. There was no history of visual loss, eye pain, or double vision. He had recently been diagnosed with hypertension and hypercholesterolaemia, for which he was treated with felodipine (5 mg once daily) and fluvastatin (40 mg once daily) respectively. He attended his op...

A 52-year-old man with no previous medical history, but a high body mass index (BMI) >34, presented with a sudden onset of a painful, apparently proptosed left eye and decreased left vision (see figure 1). He had rubbed his eye on waking. On examination, there was no relative afferent pupillary defect. Snellen chart testing was 6/12 (pinhole 6/6) ocular sinistra (OS) and 6/6 ocular dextra (OD)....

Large spectrums of ophthalmic manifestations from the anterior to the posterior segment have been so far reported in patients with inflammatory bowel disease. Anterior ischemic optic neuropathy is caused by acute ischemic infarction of the optic nerve head and is distinguished in two different types, non-arteritic anterior ischemic optic neuroparhy (NAION) which is the most frequent type and ar...

BACKGROUND Perioperative optic neuropathy is a disease which can lead to serious, irreversible damage of vision. This complication could be the result of non-ocular surgery, for example, cardiac or spinal procedures. We present a case of anterior ischemic neuropathy (AION) which occurred following a conventional coronary artery bypass graft procedure. CASE REPORT A 57-year-old man, 4 days aft...

INTRODUCTION To report our experience in management of patients with optic neuritis. The effects of brain magnetic resonance imaging and visual evoked potential on management were investigated. METHODS This is a four years clinical trial that included patients presenting with first attack of optic neuritis older than 16 years with visual acuity of less than 6/60 and presentation within first ...

A 27-year-old Thai male presented with progressive visual loss and a membrane-like floater in the right eye that had persisted for 1 month. He had a history of eating raw foods, including snails. His initial visual acuity was counting fingers at 1 ft and he had a relative afferent pupillary defect. A movable larva with subretinal tracks was found in the subretinal space near a normal optic disc...