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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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A localised elevation is present at the left macula. Multiple subtle dot like yellow precipitates are visible within the serous detachment.

Case 6

Author: Michael Chilov     Editor: Adrian Fung

Figure 1. A localised elevation is present at the left macula. Multiple subtle dot like yellow precipitates are visible within the serous detachment.

A 32-year-old man was referred with blurring of his left central vision.

Case history

A 32-year-old male high school teacher was referred by his optometrist with a three-month history of blurred vision in his left eye. The patient had no past ophthalmic history. Past medical history included hayfever for which the patient self medicated with Rhinocort® (budesonide) nasal spray.

Visual acuity was 6/5 in the right eye (OD) and 6/15+ (pinhole 6/12) in the left eye (OS). Refraction measured by the patient’s optometrist was OD +0.75D and OS +1.50/-0.25x 95°. There was a serous retinal detachment involving the left macula (Figure 1). Multiple subtle yellow deposits were noted within this, but there was no haemorrhage or hard exudates. The cup:disc ratio was 0.5 with no disc pit. There were no inflammatory cells in the anterior chamber or vitreous. Peripheral retinal examination and the right fundus were normal. Blood pressure was 118/ 74 mmHg.

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