Male patient from Samastipur and IOL done in Nepal,aged 48 yrs.He had 6/9 in right unoperated eye.Left pseudophakic eye had only PL & PR. Please comment .

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The patient happened to visit me for his left visual defect.Hence it was not possible to know about preoperative vision and initial postoperative vision. Only thing noticeable was optic disc pallor . It appeared clinically as primary optic atrophy.

@Dr. E Ahmed Respectable sir , is vn of only pl in presence of minimal pallor of disc possible to suggest optic atrophy?

Status of puillary reaction is required to make possible D.D. Cortical blindness , severe retrobulbar neuritis or OLD crao r the possibilities to be considered.

It does not look like a classical optic atrophy but it could be some cortical lesion affecting the vision

Sir the disc of RE appears slightly pale but not much to suggest an optic atrophy and PL vision.. Also CRAO seems less likely looking at the fundus.. Can advise neuroimaging to rule out any central cause for blindness

Fundus findings in resolving crao as seen AFTER 5 to 6 weeks r like normal fundus findings & vn is pl or less . Current crao has typical Findings of crao.

Looks like old CRAO, optic atrophy yet to set

Optic disc appears paler compared to the other eye . I think there are slit defects of RNFL below and above the disc. Or are they photography artefacts sir?

what was preop vision? did vision improved after cataract surgery initially? if not, then,plz take fundus pic focussing at macula.

What is pupillary reaction? Could be post cataract surgery ischemic optic neuropathy

This is not optic atrophy Need more details of patient

Left eye shows pale disc wid inferior wedge defect. Adv RNFL thickness n wat s d iop n visual fields

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