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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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 An ovoid cystic irregularity is present at the right fovea.

Case 2

Author and Editor: Adrian Fung

Figure 1. An ovoid cystic irregularity is present at the right fovea.

A 62-year-old Russian lady was referred after her optometrist detected an irregularity at her right fovea.

Case history

A 62-year-old emmetropic Russian lady presented to her optometrist for a routine eye check and update of her reading spectacles. An irregularity was seen at her right fovea on clinical examination. The patient was visually asymptomatic. She was referred for a further opinion.

Past ophthalmic history included left pterygium surgery. Past medical history included systemic hypertension controlled with perindopril, varicose veins and a right hip replacement. Her mother had a history of age-related macular degeneration.

Visual acuity was 6/9 (pinhole no improvement) in the right eye (OD) and 6/7.5 (pinhole 6/6-2) in the left eye (OS). Mild to moderate nuclear sclerotic and cortical cataracts were present in both eyes. An ovoid cystic irregularity was seen at the right fovea (Figure 1). There was no associated subretinal fluid, haemorrhage or lipid. Cup:disc ratio was 0.5 and the peripheral retina was normal. The vitreous was clear. A posterior vitreous detachment (with Weiss ring) was seen in the left eye but not in the right eye. The left fundus was otherwise normal.

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