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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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Colour fundus photograph of the left eye reveals intraretinal flame-shaped haemorrhages in the left superonasal macula.

Case 11

Figure 1. Colour fundus photograph of the left eye reveals intraretinal flame-shaped haemorrhages in the left superonasal macula.

Author and Editor: Adrian Fung

A 42-year-old Caucasian female was referred by her optometrist with a 1 week history of mildly reduced vision in her left eye.

Case history

A 42-year-old Caucasian female was referred with a 1 week history of slightly reduced vision in her left eye. She had no significant past ocular or medical history. She did not take the oral contraceptive pill and was a non-smoker.

On examination her visual acuities were right (OD) 6/6 and left (OS) 6/7.5 (no improvement with pinhole). Intraocular pressures were 9mmHg OD and 10mmHg OS. Anterior segment examination was normal with no iris neovascularisation. Posterior segment demonstrated intraretinal flame-shape and blot haemorrhages in the superonasal left macula (Figure 1). There was loss of the foveal reflex and a yellowish discolouration of the fovea suggestive of associated cystoid macular oedema.

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