CASE 23

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History

A 65-year-old man has had several episodes of momentary blindness in one eye over the past year. These episodes usually have lasted from seconds to minutes. The photograph shows fundus detail of the involved eye.

Questions

1. Describe the ophthalmoscopic findings.

 

2. What are the pertinent questions to be considered in the review of systems?

 

3. What is your diagnosis?

 

4. How would you confirm your diagnosis?