Hypofluorescence Case #2

ID: 72M

Reason for Referral: Sudden painless vision loss in the right eye. No trauma.

Past Ocular History: None.

Past Medical History: Hypertension (10 yrs, poorly controlled), Hyperlipidemia, Type 2 Diabetes (HbA1c 8.8%).

Medications: Lisinopril, Metformin, Atorvastat.

Ocular gtts: None.

Eye Vitals and Examination:

  • VA NLP OD, 20/40 OS

  • IOP 12 OD, 14 OS

  • RAPD present in OD, PEARRLA

  • EOM full

  • Vascular Filling Defect Due to CRAO

    A filling defect causes hypofluorescence due to reduced perfusion - meaning less fluorescein is reaching the vasculature.

    • Arterial Defect

    • Venous Defect

    • Capillary Bed Defect

    • Combination Defect

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Hypofluorescence Case #3