Case – 44-year-old Hispanic Male

 

  • Chief complaint: Gradual distance vision blur after sustaining head trauma related to a fall one year prior. Describes distortions and ghosting in his vision
  • Personal Ocular and Medical History: Unremarkable
  • Medications: None
  • Social History: Infrequent smoking of cigarettes over the past 20 years.

 

Examination:

  • Best-Corrected Visual Acuity: 20/40-2 OD, 20/30+2 OS.
  • Pupils: ERRL
  • EOM: FULL
  • Confrontation Visual Fields: Full-to-Finger-Count OU
  • IOP: 15/15
  • Anterior Segment: Unremarkable OU