CASE OF THE MONTH

Patient Profile
AGE

53year old

Gender

Male

Last
Eye Exam

2019

Current
Rx

OD -0.75*180
OS+0.25/-0.75*94

Medical
History

Known case of Toxoplasmosis since birth in OD which was transmitted from his mother. Treated for the same and was also operated at the age of 15. The vision has always been less in OD. Family history of Diabetes and Hypertension-both parents.

Chief
Complaint

Blurred eyes with headache and eye strain

Uncorrected
Visual Distance

OD 20/150, OS 20/30

EXAM PROTOCOL

The refraction performed revealed Myopic Astigmatism with best correct visual acuity of 20/20 OU. Upon ocular examination no abnormal changes were observed in the anterior segment. Visual field test results had many defects which were not consistent with retinal findings or with any pattern defect. The patient’s intraocular pressures were OD- 22mmHg, OS-18mmHg at 1:20pm.  Upon retinal examination, the optic nerve was healthy with a C/D ratio of 0.3 OU. OD showed toxoplasmosis scarring at the macula with dot hemorrhages at the posterior pole and OS showed microaneurysms, exudates and dot & blot hemorrhages at the macula and posterior pole.

  
CONCLUSION

The patient was referred to a retinal specialist for further retinal evaluation and treatment due to monocular status. He was also advised to visit his Primary Care Physician to evaluate for Diabetes.

   

PHOTOS

OD AI enhanced images : toxoplasmosis, dot hemorrhage

OS AI Enhanced Image : microaneurysms, Exudates and Hemorrage

Microaneurysms/ Retinal Hemorrhages:

Yellow Circle:  Low probability of pathology

Orange Circle: Medium probability of pathology

Red Circle: High probability of pathology

 Exudates/ Drusen:

Turquoise Circle: Low probability of pathology

Blue Circle: Medium probability of pathology

Purple Circle: High probability of pathology

OD

OS

 

 

EXAM EQUIPMENT

* CenterVue Compass Visual Field & Fundus Camera
* Medview FireFly Slit Lamp & Capture System
* 2020Now Eyelogic X2 Refraction System

* Canon Tx-20 Auto Tonometer
* Topcon KR-1 Auto Kerato Refractometer