Author: Narvair Kahlar / Editor: Sarah Edwards / Codes: NeuC12, OptP5, SLO1, SLO2 / Published: 28/10/2022
A 73-year-old male presents to the emergency department (ED) with 1 hour history of sudden, painless vision loss in the left eye. He denies any other symptoms.
He has a background of insulin dependent type 2 diabetes, ischaemic heart disease, hypertension and dyslipidaemia, which he is taking multiple medications for.
On assessment, left visual acuity consists of hand motion only compared to 6/6 vision on the right and both pupils will equal and reactive to light. Dilated fundus images can be seen in Figure 1 below.

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Question 1 of 3
1. Question
Based on the history and examination findings, what is the most likely diagnosis?
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Which of the following is the correct immediate management plan for the patient?
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3. Question
Which of the following also causes painless loss of vision? (Select all that apply)
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