Sudden painless loss of vision, angiogram frame
Clinical history
- Urgency
- Emergent
A 71-year-old with atrial fibrillation lost vision in one eye two hours ago; this angiogram frame was taken at the arteriovenous phase of the fellow eye.
- Examination
- Acuity of counting fingers or worse, a dense relative afferent pupillary defect, a pale oedematous retina with a cherry red spot at the fovea.
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: Fluorescein angiography
Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.