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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 right eye reveals a whitish discolouration of the retina temporal to the fovea.

Case 12

Figure 1. Colour fundus photograph of the right eye reveals a whitish discolouration of the retina temporal to the fovea.

Author and Editor: Adrian Fung

A 28-year-old Asian male was referred by his optometrist after being hit in his right eye by a basketball.

Case history

A 28-year-old Asian male was referred by his optometrist after being hit in his right eye by a basketball the day before. He reported slight blurring of his vision and was moderately myopic but otherwise had no significant past ocular or medical history.

On examination his visual acuities were right (OD) 6/9 and left (OS) 6/4.8 (no improvement with pinhole). Intraocular pressures were 14mmHg OD and 12mmHg OS. Anterior segment examination showed some mild corneal oedema, 3+ microhyphema and 1mm anisocoria with the right pupil being larger than the left. This anisocoria was greatest in lighted conditions and was less pronounced in the dark. There was no relative afferent pupillary defect. Posterior segment examination demonstrated whitening of the retina temporal to the fovea (Figure 1). This had a well demarcated border and extended superotemporally (Figure 2). A scleral depressed peripheral retinal examination failed to detected any retinal breaks or dialysis. Optical coherence tomography through the fovea was normal.

The retinal whitening extends along the superotemporal vascular arcade.

Figure 2. The retinal whitening extends along the superotemporal vascular arcade.

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