A 78 year-old man presented with a one-month history of progressive painless binocular vision loss. He had sustained head trauma without loss of consciousness three days prior to the onset of vision loss. On the morning of his presentation to us, he had awoken with complete binocular vision loss and had been started on oral prednisone (70 mg daily) by his local eye care provider. He denied symptoms of giant cell arteritis. His past medical history was remarkable for hypertension, diabetes, and a distant history of prostate cancer that was thought to be in remission. Neurologic review of systems was unremarkable. Examination revealed no light perception OU. The pupils were dilated and minimally reactive to light. There was no RAPD. Intraocular pressures were within normal limits OU. Extraocular movements were full OU. Anterior segment examination revealed pseudophakia OU. Dilated funduscopic examination revealed diffuse optic atrophy OU. Neurologic examination was unremarkable.
Date
2015
Language
eng
Format
video/mp4
Type
Image/MovingImage
Relation is Part of
NANOS Annual Meeting Frank B. Walsh Sessions; 2015
