High School

We appreciate your visit to A 28 year old female presents with progressive vision loss and mild eye pain in the right eye She states that her vision is most. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!

A 28-year-old female presents with progressive vision loss and mild eye pain in the right eye. She states that her vision is most impacted centrally. She denies any injury, chemical exposure, contact lens use, recent illness, or history of similar symptoms. She has had some diplopia and dysequilibrium for the past two weeks. Her visual acuity reveals 20/50 in her right eye, 20/20 in her left eye, and 20/30 together. She has no conjunctival, scleral, or fundoscopic changes. Her intraocular pressure is 14 bilaterally. What is the most likely diagnosis?

A. Conjunctivitis
B. Glaucoma
C. Keratitis
D. Macular degeneration
E. Optic neuritis

Answer :

Final answer:

The symptoms and clinical presentation described by the 28-year-old female patient suggest Optic Neuritis as the most likely diagnosis, given the rapid onset of vision loss, pain with eye movement, and absence of changes in intraocular pressure or fundoscopic changes.

Explanation:

The 28-year-old female patient's symptoms of progressive vision loss focused centrally, mild eye pain, diplopia (double vision), and dysequilibrium are characteristic of Optic neuritis.

Optic neuritis is an inflammation of the optic nerve that can cause sudden, reduced vision in the affected eye. It is often associated with pain on movement of the affected eye and is usually unilateral. This condition does not typically present with conjunctival, scleral, or fundoscopic changes early on, and the intraocular pressure might remain within the normal range, as described in the patient's case.

This set of clinical features differentiates the diagnosis significantly from the other options presented such as Conjunctivitis (which would exhibit conjunctival redness), Glaucoma (usually presenting with increased intraocular pressure), Keratitis (marked by corneal changes), and Macular Degeneration (a disease affecting central vision progressively in older adults without the rapid onset of symptoms noted in the patient's description).

Thanks for taking the time to read A 28 year old female presents with progressive vision loss and mild eye pain in the right eye She states that her vision is most. We hope the insights shared have been valuable and enhanced your understanding of the topic. Don�t hesitate to browse our website for more informative and engaging content!

Rewritten by : Barada