When Words Disappeared

neuro ophthalmology
Patient Demographics
Age: 76 years
Gender: Male
History of Presenting Complaint

Acute onset difficulty reading. Patient reports 'letters or small words missing' and that 'reading did not make sense'.

Past Medical History
  • Very ill with pulmonary emboli and pneumonia
  • Recent hospital admission
Examination Findings

Visual Acuity

OD: 6/6, OS: 6/6

Pupils

Equal and reactive, no RAPD

Extraocular Movements

Full in both eyes

Anterior Segment

Unremarkable in both eyes

Posterior Segment

Normal optic discs and retinal vasculature bilaterally

Intraocular Pressure

Within normal limits bilaterally

Which investigations would you choose?
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Central visual field testing (Humphrey 10-2)
OCT macula
MRI brain
Fundus photography
Carotid Doppler ultrasound

0 of 3 investigations selected

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