Intended for healthcare professionals

Endgames Spot Diagnosis

A bilateral macular star and optic disc oedema

BMJ 2016; 354 doi: (Published 21 September 2016) Cite this as: BMJ 2016;354:i4797
  1. Inês Leal1 2,
  2. David Cordeiro Sousa1 2
  1. 1Hospital de Santa Maria, Ophthalmology, Lisbon, Portugal
  2. 2Centro de Estudos das Ciências da Visão, Universidade de Lisboa, Lisbon, Portugal
  1. Correspondence to: I Leal ileal{at}

A 25 year old African man presented with reduced vision and headache lasting three hours. His blood pressure was 228/132 mm Hg (normal: <140/90 mm Hg1). Best corrected visual acuity was 20/80 in the right eye and 20/120 in the left eye (normal: 20/20). The figure shows the fundus of the right eye (fig 1).

Fig 1

Colour fundus photography of right eye, …

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