CASE 21

Click to enlarge

History

A 65-year-old woman recently suffered a sudden, marked, and painless loss of vision in one eye. She has only "hand motion" visual acuity. The opposite eye appears normal, and she complains of no systemic symptoms. The fundus of the involved eye is illustrated.

Questions

1. Describe the ophthalmoscopic findings and explain the applicable pathophysiology.

 

2. What is the diagnosis?

 

3. Are there any predisposing systemic condition with which this ocular condition is commonly associated? If so, what are they?

 

4. What is the recommended treatment for this condition? Is the prognosis favorable?