Skip to main content

Painless blur in one eye in a hypertensive adult

Clinical history

Laterality
Left
Urgency
Soon

A 66-year-old with hypertension noticed a blur in the upper part of vision in the left eye over two days.

Examination
Wedge of flame haemorrhage radiating from an arteriovenous crossing, dilated tortuous vein distal to it, macular oedema if the occluded branch drains the macula.

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: Colour fundus photograph

Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.