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A 24 year old woman with vision loss
Digital Journal of Ophthalmology 2004
Volume 10, Number 10
October 16, 2004
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Kashif Qureshi | Moorfields Eye Hospital
Shahram Kashani | King's College Hospital
Michael Toma | QE2 Hospital, Welwyn Garden City
Examination
- acutiy: 6/12 OD ; 6/9 OS
- no RAPD
- anterior segments normal
- fundoscopy: right fundus oedematous, with thin vessels supero-temporally.

The initial diagnosis was a branch retinal artery occlusion and the patient was advised to stop the contraceptive pill. The following day, the patient re-presented with blurred vision, and was advised to start taking aspirin 150mg qd.

At 1 week her vision had improved to 6/6 OD and 6/5 OS.

Four days later, the patient again presented with visual loss in the right eye. the acuity was 6/12 OD. Colour plates were 10/13 OD and 11/13 OS. Fundoscopy revealed a plaque, supero-temporally. She complained of parasthaesia in right upper and lower limb.

After a week, her condition deteriorated, with of episodes of paraesthesia on the right side and slow speech lasting 30minutes, occuring 3-4 times a day. She was drowsy, had memory loss and appeared vague to her parents. Hearing was unaffected.
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