Endgames
Spot Diagnosis
A bilateral macular star and optic disc oedema
BMJ 2016; 354 doi: https://doi.org/10.1136/bmj.i4797 (Published 21 September 2016) Cite this as: BMJ 2016;354:i4797
- Inês Leal1 2,
- David Cordeiro Sousa1 2
- 1Hospital de Santa Maria, Ophthalmology, Lisbon, Portugal
- 2Centro de Estudos das Ciências da Visão, Universidade de Lisboa, Lisbon, Portugal
- Correspondence to: I Leal ileal{at}medicina.ulisboa.pt
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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