Ophthalmology/Eye Institute

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 Department of Ophthalmology Case Studies


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HPI: 65 y/o M with history of hypertension and hyperlipidemia presents with two episodes of brief loss of vision about one week ago. He states that his vision became blurred and then completely black, and then returned in about one or two minutes in his right eye only. This happen after exercising. He had a second similar episode a day later, this time while reading the newspaper. Since these two episodes, his vision seems normal. He also has noted that he has had an occasional right temporal headache. He denies any jaw claudication. He has been more fatigued. He has had a ten pound weight loss in the last month that has been unintentional. Recently, he was started on a new medication for cholesterol and experienced sore achy muscles. Workup was done by his primary care doctor. As part of this work-up, an erythrocyte sedimentation rate (ESR) was checked and found to be elevated at 116.

POHx: Corneal abrasion 3 years ago

PMHx: Hypertension under good control, Hyperlipidemia, knee surgery.

Ocular Medications: None

Medications: HCTZ, lisinopril, simvastatin

Allergies: None

FOHx: No early vision loss

SocHx: No tobacco, alcohol or recreational drug use

ROS: Negative except for as noted in HPI

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