Px presenting for routine eye examination. Px is asymptomati | Figure 1

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Px presenting for routine eye examination. Px is asymptomatic with VA of 6/6 and no visual field defect. What condition is shown above.

Px is a 21 year old female. Has worn glasses from 7 years old. Current rx is R: -7.25, -1.00 x 8 and L: -6.50, -2.00 x 170. Had a fall a couple months ago and bumped left side of head against the sidewalk. Currently complaining of recently being able to notice her floaters more, unable to focus on text on electronic screens (especially if black font on white background), finding halos around bright lights (from morning sun to car headlights), finds it hard to look at bright lights as sees afterimage immediately after (compares it to bright camera flashes) and noticing anything white is doing the same. Compared symptoms as being similar to when she was dilated for her eye test. At a loss currently and any input would be much appreciated.

A 50-year-old myopic diabetic man presents with sudden loss of vision in his right eye over the last one day. He describes new flashing lights (photopsia) in the right eye over the last four days with floaters in the same eye. There is no pain. The visual loss started in the bottom of his visual field, but has progressed to include most of his vision. His diabetes is well controlled, and he has no other medical problems. His pupils react normally. His visual acuity is 6/60 in the right eye and 6/6 in the left.

  1. What is the most likely diagnosis?
    • A. Proliferative diabetic retinopathy
    • B. Optic neuritis
    • C. Retinal detachment
    • D. Anterior uveitis
    • E. Corneal abrasion

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