Answer: The left eye fundus is significant for diffuse retinal whitening suggestive of ischemia, optic disc edema, and a cherry red spot. This is consistent with a central retinal artery occlusion.
What is the acuity of the presentation?
Emergency! Consult ophthalmology and activate stroke code immediately
Non urgent, can see ophthalmology and neurology in a few weeks
Bonus question: What other conditions are associated with a cherry red spot on fundoscopic exam? Click all that apply.
Recognizing this an emergency, you activate the stroke protocol, and consult ophthalmology and neurology.
What tests will the consultants want you to order? Click all that apply.
STAT CT head/angiography
Hypercoagulability work up
Click here to move on!
Neuro-oph Case 1 Index
Neuro-oph Case 1: Introduction
Neuro-oph Case 1: Additional History and Physical Exam