Case 7: Introduction

History of Present Illness (HPI)

A 78 year old female with HTN, and a 10 pack-year smoking history presents complaining of blurry vision in both eyes. She denies eye pain, flashes, floaters, redness, or discharge. She had cataract surgery in both eyes about 5 years ago, after which she feels her vision improved. However, over the past year, it has now become blurry again. She notes objects sometimes appear distorted and “wavy.” She has no personal history of diabetes, nor does she have family history of glaucoma or macular degeneration.

Which of the following are at the top of your differential diagnosis? Choose at least 1 before moving on! HINT: Think about causes of BILATERAL vision changes!
Diabetic retinopathy
Macular degeneration
Central retinal vein occlusion
Central retinal artery occlusion
Retinal Detachment
Ischemic Optic Neuropathy

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