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Postgraduate Medical Journal 2003;79:542
© 2003 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

Ophthalmology

Red eyes, reduced vision, and vomiting

N Dhingra , M T Watts

Department of Ophthalmology, Arrowe Park Hospital, Upton, Wirral, UK

Correspondence to:
Correspondence to:
Mr Dhingra;
ndhingra99@yahoo.com

Submitted 5 December 2002
Accepted 13 January 2003


Answers on p 546.

Keywords: pachydermoperiostitis; hypertrophic osteoarthropathy; glaucoma; angle closure; masquerade

The first 150 words of the full text of this article appear below.

A 67 year old woman was referred by her general practitioner to our accident and emergency department with a two day history of nausea, vomiting, and blurred vision in both eyes. Her drug history included that of taking atenolol and paravastatin. Five months before this referral, she had suffered a stroke and computed tomography then had revealed parietal lobe haemorrhage. She was examined by the casualty doctor and was subsequently admitted on the medical ward for management of her systemic symptoms. The systemic symptoms improved on antiemetics but she continued to complain of poor vision from both her eyes. Subsequently she was referred to the eye department.

Six months before this referral to the eye clinic, a dilated fundus examination had revealed a macroaneurysm in the right eye not involving the fovea. The visual acuity recorded on that occasion was 6/6 in both eyes.

Ocular examination revealed visual acuities . . . [Full text of this article]


Relevant Article

Red eyes, reduced vision, and vomiting
Postgrad. Med. J. 2003 79: 546-547. [Extract] [Full Text] [PDF]






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