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

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Visual field testing (Goldmann or Humphrey)
OCT macula
MRI brain
Fluorescein angiography
Neurological assessment

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