Central blurring in a patient with diabetes
Clinical history
- Age
- Typically 40 to 70
- Duration
- Weeks to months
- Urgency
- Soon
An adult with long-standing diabetes reports gradual blurring of central vision over weeks to months, which may fluctuate. Glycaemic control has often been suboptimal. It can occur at any stage of retinopathy, including mild disease.
- Examination
- Reduced acuity with retinal thickening at the macula. Microaneurysms, dot and blot haemorrhages and hard exudates at the posterior pole.
Presentation typical of this diagnosis, written for teaching. The source dataset provides the image and its label only, with no accompanying clinical record.
The study opens when you begin.
Read the history first and decide what you expect to find. Committing to an expectation before you look is most of what separates interpreting from noticing.
Step 1 of 3 · Read the history
Study: Macular OCT
Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.