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Blink
What Is This Month's Mystery Condition?
Written by Maria Inês Rodrigues, MD, Leonor Duarte de Almeida, MD, and Manuel Monteiro-Grillo, MD, Hospital de Santa Maria, Lisbon. Edited by Michael P. Kelly, FOPS.

Photo by Maria Inês Rodrigues, MD, Hospital de Santa Maria, Lisbon.
 
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(PDF 176 KB)

January 2013 Blink

Retinal Infarction

A 69-year-old woman presented to the emergency room complaining of sudden vision loss, which had begun two days previously, in her left eye. She also suffered from systemic amyloidosis and renal failure requiring hemodialysis. 

On presentation, her best-corrected visual acuity was 20/20 in the right eye and 20/15 on the left. This took into account a search of the visual field for the best acuity.

During funduscopy, the retina of the left eye was found to be chalky and pale except for the macular and the papillomacular bundle areas. Fluorescein angiography was performed, revealing a central artery obstruction with sparing of the cilioretinal circulation.

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