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?
Try to decide before revealing the results. You have 2 attempts.
Central visual field testing (Humphrey 10-2)
OCT macula
MRI brain
Fundus photography
Carotid Doppler ultrasound
0 of 3 investigations selected
Investigations (Locked)
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