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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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Prominent optic discs are seen in both eyes with small cup:disc ratios.

Case 20

Figure 1. Prominent optic discs are seen in both eyes with small cup:disc ratios.

Author and Editor: Adrian Fung

A 46-year-old lady was referred by her optometrist with an abnormal optic disc appearance and flashes in her right eye.

Case history

A 46-year-old lady was referred by her optometrist with abnormal optic disc appearances and flashes in her right temporal visual field over the last 2 weeks. These flashes were most noticeable when she viewed a white wall or bright light. Past medical history included breast carcinoma treated with surgery, chemotherapy and radiation.

The patient was a low hypermetrope. Visual acuity was 6/6 in the right eye (OD) and 6/5 in the left eye (OS). Intraocular pressures were 23mmHg OD and 22mmHg OS and central corneal thicknesses were normal. Anterior segment examination was normal. Fundus examination demonstrated a prominent optic discs without blurring of the disc margins, haemorrhage, lipid or subretinal fluid (Figure 1). Cup:disc ratios were 0.1 in each eye. The posterior hyaloids were still attached. Maculae and retinal peripheries were normal with no evidence of a retinal break.

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