Forgetful with Tunnel Vision
neuro ophthalmology
Patient Demographics
Age: 59 years
Gender: Female
History of Presenting Complaint
Progressive memory loss and personality change with increasing clumsiness, bumping into things. Visual acuity preserved at 6/5 in both eyes.
Past Medical History
- Progressive neurocognitive symptoms
- Memory impairment
- Personality changes noted by family
- No previous eye problems
Examination Findings
Visual Acuity
OD: 6/5, OS: 6/5
Pupils
Equal, reactive, no RAPD
Extraocular Movements
Full in both eyes
Anterior Segment
Both eyes: Normal appearance, no anterior segment pathology
Posterior Segment
Optic discs and retinal examination unremarkable. Fundus examination shows no primary ocular pathology
Intraocular Pressure
Normal in both eyes
Which investigations would you choose?
Try to decide before revealing the results. You have 2 attempts.
Visual field testing (Goldmann or Humphrey)
OCT macula
MRI brain
Fluorescein angiography
Neurological assessment
0 of 3 investigations selected
Investigations (Locked)
Complete the investigation selection question above to unlock the full investigation results.