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Here you’ll find interesting cases of eye conditions along with news and developments in the ophthalmology world.

Cases are presented as an initial image with history and examination. Health practitioners are encouraged to deduce the condition, before further investigations, diagnosis and management are presented.

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There is a serous retinal detachment of right macula. A grey/green lesion is present deep to this.

Case 1

Figure 1. There is a serous retinal detachment of right macula. A grey/green lesion is present deep to this.

Author: Michael Chilov     Editor: Adrian Fung

A 32-year-old nurse was referred complaining of distorted central vision in her right eye.

Case history

A 32-year-old Caucasian nurse presented to her optometrist complaining of central distortion of vision in her right eye. She had noticed a central patch of distorted vision enlarging over two weeks. There was no particular precipitant she could recall. Her optometrist noted an abnormality at the right macula (Figure 1) and referred her for a further opinion. 5 years previously, the patient had undergone refractive LASIK surgery to correct 7 dioptres of myopia. Following the surgery she had enjoyed good unaided vision. Her past ophthalmic history was otherwise unremarkable, with her last eye examination having been three years ago. She had no medical conditions and was not taking any medication. There was no known family history of eye disease. Visual acuity was 6/12 (pinhole 6/9-1) in the right eye (OD) and 6/6- in the left eye (OS). Examination revealed a well demarcated elevation consistent with a serous detachment of the right macula (Figure 1). At the centre of this was a deep green/grey lesion. There was no associated haemorrhage or hard exudate. The optic nerve was healthy (cup disc ratio 0.3) with a small myopic scleral crescent. The peripheral retina demonstrated areas of white without pressure but no retinal tears. The vitreous was uninflammed. The left fundus was normal.

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