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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 macula. There are signs of myopia including tilting of the optic disc, tessellation and pallor in the temporal posterior pole.

Case 34

Figure 1. Colour fundus photograph of the left macula. There are signs of myopia including tilting of the optic disc, tessellation and pallor in the temporal posterior pole.

Author: James Leong     Editor: Adrian Fung

A 51-year-old high myope was referred with reduced vision in her left eye.

Case history

A 51-year-old female was referred with gradual deterioration in vision in her left eye over the preceding months. This was on a background of high myopia (SE -8.0D). Her optometrist had noted changes at the left macula and referred her for further opinion and management.

On examination best corrected visual acuities measured right 6/9 and left 6/18. Intraocular pressures were normal and anterior segment examination was unremarkable. Posterior segment examination demonstrated typical features of a myopic fundus with tilted optic nerves and a tessellated appearance (Figure 1). Peripheral retinal examination did not demonstrate any retinal tears or significant pathology.

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