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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 shows multiple deep retinal white dots at the left macula with a slightly abnormal foveal reflex. The right fundus is normal.

Case 17

Figure 1*. Colour fundus photograph of the left eye shows multiple deep retinal white dots at the left macula with a slightly abnormal foveal reflex. The right fundus is normal.

Author: Simon Nothling     Editor: Adrian Fung

A 29-year-old woman was referred with blurred vision and flashes in her left eye.

Case history

A 29-year-old moderately myopic (-2.50D) female surveyor presented with a 2-week history of photopsia, “little dots” and blurring of her left vision. She denied any recent viral illness. There was no significant past ophthalmic history, and past medical history consisted only of mild asthma. She denied recent travel and took no regular medications.

Visual acuities were 6/5 right eye and 6/12 left eye. There was a subtle left relative afferent pupillary defect (RAPD). Intraocular pressures were 13mmHg bilaterally. Both the anterior chamber and vitreous were quiet. At the left macula there were multiple white coloured spots at the level of the outer retina. There was some mild blurring of the disc margin, but no retinal vasculitis. The right fundus was normal (Figure 1).

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