A 75 year old African American gentleman with a positive family history of this disease comes to his usual annual eye appointment. He has no symptoms; no pain, redness, halos, or other eye problems. He's not aware of any vision loss, though exam shows:
His vision is as follows:
Challenge: What is the most likely diagnosis?
First image shown under Fair Use. Second and third images are in the public domain.
His vision is as follows:
Challenge: What is the most likely diagnosis?First image shown under Fair Use. Second and third images are in the public domain.
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3 comments:
Retinitis pigmentosa..... such patients have tunnel vision....
Glaucoma!
yes, was going for glaucoma...might do retinitis pigementosa in the future though
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Picture Perfect
This is primary angle closure laucoma, the second leading cause of blindness (the first is cataracts). Although this presents with peripheral vision loss in the setting of increased intraocular pressure, many patients have no symptoms. The first image shows enlargement of the cup and an inferotemporal neuroretinal rim.
Sources: UpToDate; Wikipedia.
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