Article Text
Statistics from Altmetric.com
A previously fit 37-year-old woman gave a 5-day history of painless decreased vision in her right eye, perceived as a grey patch over the front of the vision. This had remained unchanged since she had first noticed it. On examination, her right eye visual acuity was 6/36 and she could see 2/11 of the Ishihara plates. There was a right relative afferent pupillary defect. Dilated fundal examination revealed right optic disc swelling and retinal thickening extending to the macula (figure 1A). Optical coherence tomography confirmed the optic disc swelling and retinal thickening but also showed subretinal fluid in the macula (figure 1B).
(A) Optic fundus of the right eye at presentation showing optic disc swelling and macular thickening. (B) Optical coherence tomography showing optic disc swelling, retinal thickening and subretinal …
Footnotes
Contributors All the authors took part in the patient's clinical care and contributed to the writing and revision of the article.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Christian Lueck, Canberra, Australia.
Read the full text or download the PDF:
Other content recommended for you
- Mimics and chameleons of optic neuritis
- The swollen optic nerve: an approach to diagnosis and management
- Bartonella neuroretinitis (cat-scratch disease)
- Ocular complications of cat scratch disease
- Optical coherence tomography shows retinal abnormalities associated with optic nerve disease
- Neuroretinitis: a tricky mimic
- Progression of asymptomatic optic disc swelling to non-arteritic anterior ischaemic optic neuropathy
- Optic disc oedema in first degree relatives with different macrovascular risk factors (type 1 diabetes and hypertension)
- Disorders of the anterior visual pathways
- A challenging differential diagnosis of optic neuropathy in ED: CSD