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Clinical Reasoning: A Woman With Progressive Painless Sequential Monocular Vision Loss.

Joseph Ditrapani1, Hayley Price2, Christine Shrock2

  • 1From the Department of Neurology (J.D., H.P., S.Z., P.E.G., M.B.), Beth Israel Deaconess Medical Center, Boston; and Department of Neurology (C.S.), Boston Children's Hospital, MA. jditrapa@bidmc.harvard.edu.

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PubMed
Summary
This summary is machine-generated.

This case study describes a rare presentation of a known disease causing vision loss. It emphasizes the importance of considering differential diagnoses beyond initial assumptions, such as central retinal artery occlusion.

Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology
  • Medical Diagnostics

Background:

  • A 68-year-old female patient with diabetes mellitus type 2, depression, and migraines experienced progressive vision loss in both eyes.

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  • Initial symptoms included painless, acute, consecutive vision loss, leading to a presumptive diagnosis of central retinal artery occlusion at an outside facility.