An old lady with acute headache and sudden blindness
A 60-year-old hypertensive lady experienced painless sudden visual loss in the right eye when resting at home. There was no traumatic injury, no eye pain, or flashes or floaters, or nausea, but mild right-sided headache for few days. She was not lifting heavy objects, nor straining. She managed to a...
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| Veröffentlicht in: | Hong Kong journal of emergency medicine 2021-03, Vol.28 (2), p.121-123 |
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| creator | Au, Sunny Chi Lik Ko, Simon Tak Chuen |
| description | A 60-year-old hypertensive lady experienced painless sudden visual loss in the right eye when resting at home. There was no traumatic injury, no eye pain, or flashes or floaters, or nausea, but mild right-sided headache for few days. She was not lifting heavy objects, nor straining. She managed to attend the emergency department within 1 h of onset of symptoms by herself walking into the consultation room unaided. Examination showed visual acuity with pinhole of hand movement over the right eye, right relative afferent pupillary defect and normal intraocular pressure of 15 mmHg. Extraocular movement was full without diplopia or pain. Eyes were not injected, and slit lamp examination was normal with clear cornea. Acute management of vascular causes of acute blindness and the role of hyperbaric oxygen therapy in ophthalmological disease in Hong Kong will be discussed. |
| doi_str_mv | 10.1177/1024907920913665 |
| format | Article |
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| ispartof | Hong Kong journal of emergency medicine, 2021-03, Vol.28 (2), p.121-123 |
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| source | DOAJ Directory of Open Access Journals; Wiley-Blackwell Open Access Titles; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Arterial occlusions arterial occlusive diseases Autoimmune diseases Blindness Emergency medical care Evaluation Giant cell arteritis Hyperbaric oxygenation Hypertension Older people Retinal artery occlusion Therapeutics Vein & artery diseases |
| title | An old lady with acute headache and sudden blindness |
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