Concluded Case

Middle aged driver with past history of drinking habits visited for visual loss in affected eye SPOT DIAGNOSIS

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Concluded answer

The fellow eye also.had some disc pallor This is primary optic atrophy . However right fundus also shows hazy macula perhaps due to previous episode of CSR

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The fellow eye also.had some disc pallor This is primary optic atrophy . However right fundus also shows hazy macula perhaps due to previous episode of CSR

CSR will recover in 6 weeks if persists flourecene angiography for leakage point and green laser Decrease stress

Old central serous chorioretinopathy with pigment epithelial detachment Need OCT FOR CONFIRMATION.

Toxic neuritis due to alcohol is usually B/L CSR doesn't involve disc So complete B/L ocular examination with OCT N FFA will help
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Temporal pallor of disc with sub retinal yellow spots over macular area , thickened macula OCT required and then ffa to conferm

NEURO RETINITIS OPTIC ATROPHY YOCIC FUE TO ALCOHOL INTAKE

Toxic optic neuropathy due to alchol use

Central serous chorioretinopathy

Condition of the other eye ? Toxic neuritis due to alcohol affects more or less both eyes But in CSR there is no disc pallor Therefore only after investigations we can come to some conclusion@Dr. Sujan Singh

Retrobulbar neuritis..IV Prednisone 500 mg twice a day for 3 days

Clinically it could be CSR or toxic maculopathy

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