Bedside
Rounds

Case #163Ophthalmology

Sudden Painless Loss of Vision in One Eye

Sudden Painless Loss of Vision in One Eye
At a glance
HR 82 bpm BP 162/94 SpO2 97% ESR: 12 mm/hr

"62M with sudden NPL vision loss & cherry-red spot."

Patient History

A 62-year-old male retired bank manager presents with sudden complete painless loss of vision in the right eye 2 hours ago. Examination shows right relative afferent pupillary defect and a pale edematous retina with a cherry-red spot at the macula.

Clinical Examination & Labs

ECG reveals newly discovered atrial fibrillation.

Diagnostic Management Pathway

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