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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 photography shows multiple, bilateral serous retinal detachments. The discs are normal and there is no retinal vasculitis.

Case 54

Figure 1. Colour fundus photography shows multiple, bilateral serous retinal detachments. The discs are normal and there is no retinal vasculitis.

Author: Simon Nothling     Editor: Adrian Fung

A 36-year-old Caucasian male was referred with headache, orbital pain, vertigo and blurred vision.

Case history

A 36-year-old Caucasian male, presented with a 2-day history of bilateral blurred vision, which was preceded by a headache, orbital pain and vertigo for 3 days. He had presented to an emergency department 2-days prior where he had been diagnosed with a viral infection and dehydration before being discharged home. His wife was 37 weeks pregnant, and he described recent sleep loss and stress. He seen by an optometrist who noticed macula swelling and referred the patient to our clinic. His main visual symptoms were distortion and central blurring. He had no other neurological symptoms such as tinnitus, paraesthesias, diplopia or speech disturbance. He was otherwise healthy with no other medical conditions, and took no regular medication. There was no history of ocular surgery or trauma.

Visual acuities were 6/15 in the right eye (OD) and 6/6 in the left eye (OS). Intraocular pressures were 15mmHg in each eye. Pupils were normal with no RAPD. Anterior segment exam was normal, with no anterior chamber cells, and no cells in the anterior vitreous. Dilated fundus photos of both eyes showed bilateral, multiple, blisters of subretinal fluid (Figure 1).

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