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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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Ultra-wide field colour photograph of the left fundus shows a reddish-brown far peripheral elevation in the superonasal quadrant.

Case 44

Figure 1. Ultra-wide field colour photograph of the left fundus shows a reddish-brown far peripheral elevation in the superonasal quadrant.

Author and Editor: Adrian Fung

A 79-year-old woman was referred by her general ophthalmologist with left pseudophakic cystoid macular oedema and a raised peripheral sub retinal lesion.

Case history

A 79-year-old lady was referred by her general ophthalmologist for treatment of left pseudophakic cystoid macular oedema. She had been commenced on topical maxidex and acular drops qid for this. An incidental left superonasal raised subretinal lesion had been detected (Figure 1). Past medical history included hypertension, hypercholesterolaemia, hypothyroidism and essential tremor but there were no other systemic symptoms.

Visual acuities were 6/12+2 ph 6/7.5+1 in the right eye (OD) and 6/7.5-1 in the left eye (OS). Intraocular pressures were 10mmHg OD and 12mmHg OS. A moderate nuclear sclerotic cataract was present in the right eye and a well-placed intraocular lens in the left. The right macula was normal and there was resolving left pseudophakic cystoid macular oedema. Superonasally in the left eye was a bulbous, reddish-brown subretinal elevation. It did not have any associated subretinal fluid, haemorrhage, lipid, drusen or orange pigment.

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