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?
Try to decide before revealing the results. You have 2 attempts.
OCT optic disc
Carotid Doppler
MRI brain and orbits
Fluorescein angiography
Visual field testing
0 of 3 investigations selected
Investigations (Locked)
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