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An 80-year-old atramentous woman presented to the dispensary for a accepted eye examination. Her antecedent eye assay was about 2 years ago, back she underwent avalanche abstraction with intraocular lens article in the larboard eye only. Shortly afterwards her surgery, she accustomed a bifocal brace of spectacles, which she wore to her examination.
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Her systemic history was arresting for hypertension for 10 years that was beneath ascendancy with carvedilol. She additionally had melancholia allergies that were controlled with over-the-counter anesthetic as needed.
Examination allegation included the following:
Best-corrected beheld acuity was 20/20 for the appropriate eye, 20/70 for the larboard eye
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Pupils were isocoric, round, and acknowledging to light, with no afferent pupillary defect
Extraocular beef movements were full, with no restrictions in both eyes
Confrontation beheld fields were abounding to finger-counting in both eyes
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Slit-lamp assay showed bright conjunctiva, corneal arcus, formed and quiet antecedent chambers, and collapsed irises in both eyes
Intraocular pressures application Goldmann applanation tonometry were 15 mm Hg for both eyes
Dilated fundus assay appear aboriginal nuclear arthritic changes in the appropriate eye and a after alcove intraocular lens implant in the larboard eye that was bright and well-centered. The brittle of both eyes were clear. The retina was collapsed and complete 360° in both eyes. Cup-to-disc ratios were 0.30/0.30, with advantageous and perfused rims in both eyes. The birthmark in the appropriate eye was collapsed and intact, but the birthmark in the larboard eye was minimally elevated, with aloft pigmentary changes (Figure 1).
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Figure 1. The birthmark of the appropriate eye is collapsed and dry. The larboard eye shows acclivity and a accident of foveal depression, with intraretinal cystic pockets and a axial macular array of 525 µm compared with a macular array of 274 µm in the appropriate eye.
Medscape Optometry © 2015 WebMD, LLC
Any angle bidding aloft are the author's own and do not necessarily reflect the angle of WebMD or Medscape.
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Cite this article: Decreased Vision on Accepted Eye Exam - Medscape - Nov 04, 2015.
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