History / Objective Data
(This DGR case requires a VBScript-compatible browser to work optimally. You should either be using Microsoft Internet Explorer, or Netscape equipped with the NCompass ScriptActive plug-in. The answer can be viewed via straight HTML, as well... see the link at the end of the case history.)
A 42 y/o black male presented with complaints of decreasing vision in the right eye. He said he had noticed a spot in his eyes as well as great difficulty driving at night.
His habitual correction gave him vision of 20/25 and 20/30 in the right and left eyes respectively. Best correction gave no improvement.
His EOMs and pupil responses were normal. IOP was 15mmHg OU.
Biomicroscopy showed normal corneas and anterior chamber findings, but early nuclear changes in the lenses of both eyes.
Dilated fundus examination showed the findings depicted in the photo here for the right eye.
What is this condition and how should it be managed?
(Click HERE for answer if your browser doesn't support VBScript or RealAudio.)
Don't hesitate to contact me via E-Mail to waltmayo@sccoast.net. Please take the time to join us in discussing this and other cases on our Internet mailing list. You can subscribe by clicking HERE. With over 1100 doctors from 35+ countries participating, you're sure to have fun and learn something at the same time.
Please take the time to participate. The more that join in, the better the experience will be for all.
Thanks!
Walt Mayo, OD
Technology Director
Southern Council of Optometry
PO Drawer L / 400 Marina Drive
Georgetown, South Carolina 29442
WK: 803/546-8421
HM: 803/650-0140
FAX: 803/546-1173
Email: waltmayo@sccoast.net