Ophtho On Call Case 8: Introduction

History of Present Illness (HPI)

A 58- year- old woman with a history significant for hyperlipidemia, hypertension, fatty liver disease, and DM2 presents to her ophthalmologist after experiencing a significant decrease in vision in her left eye. She first realized this during the final three minutes of a very exciting basketball game when she closed her right eye and realized she could barely see out of the left one. There is no associated pain associated or pain with eye movements. The vision loss has not changed in the past three days. She comes in now because she is worried as this has never happened before and does not seem to be improving.

What’s at the top of your differential diagnosis? Choose at least 3 before moving on!
Central retinal artery occlusion
Nonarteritic Ischemic optic neuropathy
Arteritic ischemic optic neuropathy
Central retinal vein occlusion
Vitreous hemorrhage
Retinal detachment

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