OS: Counting Fingers at 3 feet
Extraocular Movements: Intact
Pupils: PERRLA, no afferent papillary defect.
Confrontational visual fields: Normal OD, Central, inferior and nasal field deficits OS
OS: Blurry throughout, with nasal regions missing completely
Lids and Lashes: Normal OU
Conjunctiva/Sclera: Normal OU
Cornea: Normal OU
Anterior Chamber – normal depth OU, some pigment noted OS
Iris: Normal OU, no lesions
Anterior Vitreous – Pigment OS (Shafer’s sign)
Dilated Fundus Examination:
OD: CDR 0.3, no AV nicking, macula normal, periphery normal with no signs of retinal breaks or detachments.
OS: CDR0.3, large area of subretinal fluid extending from 10 o’clock to 4 o’clock with fluid under the macula (mac off retinal detachment). A horseshoe tear is identified at 2 o’clock. Small amount of vitreous hemorrhage noted at the site of the tear. Weiss ring visible.