History of Present Illness
A 27-year-old woman complained of decreased vision in both eyes (OU) for the past 30 days, which was gradual in onset and painless. She has also had numbness and a tingling sensation in both feet for about 6 months. She then developed a trophic ulcer in her right foot after painless swelling.
Exam
| OD | OS | |
|---|---|---|
| Visual acuity | 20/80 | 20/80 |
| Intraocular pressure (IOP) | 38 | 14 |
| Sclera/conjunctiva | White and quiet | White and quiet |
| Cornea | Clear | Clear |
| Anterior chamber (AC) | Deep and quiet | Deep and quiet |
| Iris | Normal | Normal |
| Lens | Whitish deposits on posterior lens capsule (see Fig. 23.1 ) | Whitish deposits on posterior lens capsule (similar to Fig. 23.1 ) |
| Anterior vitreous | Vitreous opacities attached to the posterior lens capsule as pseudopodial attachments | Vitreous opacities attached to the posterior lens capsule as pseudopodial attachments |
Dilated fundus examination (DFE) See Fig. 23.2
| Vitreous | Vitreous membranes | |
| Optic disc | Cup-to-disc ration (CDR) 0.7, sharp | |
| Vessels | Normal | |
| Macula | Normal | |
| Periphery | Hazy, attached | Hazy, attached |
