Adam,Rouilly AR403 - Page 19

Condion 11
This view is of the opc disc and temporal rena
The main clinical features are:
• Disc margins are obscured and swollen and
hyperaemic
• Renal vessels show tortuosity
This diagnosis is consistent with:
PAPILLOEDEMA
Comment:
Spontaneous venous pulsaon may be absent, if present than Papilloedema is unlikely.
Visual symptoms are absent in early stages. A space occupying lesion must be excluded.
Condion 12
This view is of the opc disc and temporal rena
The main clinical features are:
• Opc disc pallor with cupping
• Large area of macular scarring
This diagnosis is consistent with:
OPTIC ATROPHY WITH MACULAR SCARRING (AND GLAUCOMA)
Comment:
Age-related macular degeneraon would be the commonest cause of macular scarring.
Gluacoma is likely with the opc disc to cup rao of considerably < 0.5.
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