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neuro ophthalmology
Patient Demographics
Age: 41 years
Gender: Female
History of Presenting Complaint
Slow, progressive deterioration of vision in the left eye over a few weeks. No pain reported.
Past Medical History
- Not specified
Examination Findings
Visual Acuity
OD: 6/6. OS: 6/6-2 (near-normal)
Colour Vision
Ishihara — OD: all plates correct. OS: 3 errors
Pupils
Left relative afferent pupillary defect (RAPD) present
Extraocular Movements
Not specified
Anterior Segment
Subjective light brightness — OS reduced to approximately 50% compared with OD
Posterior Segment
Subjective colour — OS described by the patient as "washed out"
Which investigations would you choose?
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Formal automated visual field testing (both eyes)
MRI brain with contrast
Ishihara colour vision testing
Subjective light brightness comparison between eyes
Repeat refraction alone
0 of 4 investigations selected
Investigations (Locked)
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