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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

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