Ophthalmology/Eye Institute

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 Department of Ophthalmology Case Studies

 

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HPI: A 61 year old Caucasian male presents with loss of vision in his left eye that began yesterday morning and has become progressively worse. The patient describes the sensation that a curtain was coming up over his affected eye and this curtain is now affecting his center vision. In addition, 7 days ago the patient noticed what he described as flashing lights on the left and noticed subsequent floaters. The patient has no pain, diplopia, halos, metamorphopsia or other symptoms. The patient reports having cataract surgery in his left eye 3 weeks ago.

Past Ocular History:
Cataract Surgery OS
No history of laser or injections

Past Medical History:
HTN – well controlled on medication
Osteoarthritis
No history of DM, CVD, Stroke, TIA, or autoimmune disorders

Surgical History:
Right knee replacement in 2005
Cataract Extraction 0S 3 weeks ago

Past Family Ocular History:
Mother – ARMD (age related macular degeneration)
No history of retinal detachment, glaucoma, blindness

Social History:
Pt does not smoke, drinks alcohol in moderation and does not use illicit drugs

Medications:
Hydrochlorothiazide
Lisinopril

Allergies: NKDA

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