One Pale Disc, One Swollen Disc

neuro ophthalmology
Patient Demographics
Age: 41 years
Gender: Female
History of Presenting Complaint

Visual disturbance with poor vision in one eye and preserved vision in the other. Patient reports difficulty with peripheral vision and occasional headaches.

Past Medical History
  • Details anonymised for patient confidentiality
  • No significant previous eye problems
  • No family history of eye disease
Examination Findings

Visual Acuity

OD: 6/60, OS: 6/9

Pupils

Assessment pending - detailed pupil examination required

Extraocular Movements

Full in both eyes

Anterior Segment

Both eyes: Clear cornea, deep anterior chamber, no inflammation

Posterior Segment

OD: Pale optic disc consistent with optic atrophy. OS: Swollen optic disc with blurred margins consistent with papilloedema

Intraocular Pressure

OD: 15mmHg, OS: 16mmHg

Which investigations would you choose?
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OCT optic disc
Carotid Doppler
MRI brain and orbits
Fluorescein angiography
Visual field testing

0 of 3 investigations selected

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