A 64-year-old woman develops sudden, profound painless loss of vision in her left eye 90 minutes before assessment. The left pupil has a relative afferent pupillary defect, and fundoscopy shows a pale retina with a cherry-red spot at the macula. She has no ocular pain or history of trauma. What is the most appropriate immediate management?
Keep going — a set of ten like this one, one at a time.
Practise moreMore from Eyes, Ears, Nose and Throat
See allA 24-year-old woman who wears soft contact lenses and often sleeps in them presents with 24 hours of an increasingly painful, red, watering right eye and marked…
Clinical rotations · middle twist
A 66-year-old man with atrial fibrillation presents 40 minutes after the sight in his left eye "went out like a light" while reading; there was no pai…
Clinical rotations · common
A 58-year-old man who smokes and drinks heavily presents with a painless lump below the angle of his left jaw that he first noticed six weeks ago and which has…
Clinical rotations · middle twist
A 61-year-old woman reports two weeks of brief episodes of the room spinning, lasting less than 30 seconds, that happen when she rolls over in bed to the right,…
Clinical rotations · common
A 29-year-old woman presents with three days of worsening unilateral throat pain, fever and difficulty swallowing. She cannot open her mouth fully, her voice is…
Clinical rotations · common