CIBA Vision Ophthalmics
Digital Grand Rounds
Digital Grand Rounds - Case #81Clinical Photo
History / Objective DataCase #81A 28-y/o white female presents with complaints of distorted, wavy vision in the right eye as well as diplopia for the last three days. She has no history of eye problems other than myopia, for which she wears soft contact lenses. The patient is currently taking Humibid (guaifensesin) for a cough, as well as birth control pills. She reports no significant family or personal medical history. Visual acuity with her contact lenses is 20/30 in the right eye and 20/25 in the left. Extraocular muscle motilities are full and smooth in all fields of gaze. The pupils are equal and round, and react normally to light and accommodation. Slit lamp biomicroscopy discloses healthy anterior segment structures. Applanation tonometry yields pressures of 16mm Hg in each eye. A dilated fundus exam reveals a serous detachment in the macular area of the right eye. Fluorescein angiography displays scattered changes in that area as well. (The large white area between the disk and the macular is reflection only, an artifact. What is this condition? Don't hesistate to bring this case up for discussion... either on our Internet mailing list or our ocular disease forum. See the URL at the bottom of this screen, or contact me, Walt Mayo, OD, at waltmayo@sccoast.net.
Hints: [1] [2] [3] / [Answer/Discussion]Don't hesitate to contact me via E-Mail at 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 logging on to our main home page listed at the bottom of this screen. You'll find an automated subscription form right on the home page. Please take the time to participate. The more that join in, the better the experience will be for all.Thanks! Walt Mayo, OD Return to DGR Menu Return to Main Menu |