CASE 11

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History

A 70-year-old woman suffered sudden but painless loss of vision in one eye She also has experienced headaches and shoulder pain during the past several months. The affected eye is shown in the photograph. Her other eye remains normal.

Questions

1. When a patient complains of these symptoms, what questions would you include when taking the history?.

 

2. Describe the ophthalmoscopic findings.

 

3. What is the differential diagnosis?

 

4. What should the diagnostic workup include?

 

5. What would be your strategies for short- and long-term management of this patient?