A pre-hospital team is called to a 70-year-old male who has developed sudden painless loss of vision in the lower half of his visual field in the righ...

Question

A pre-hospital team is called to a 70-year-old male who has developed sudden painless loss of vision in the lower half of his visual field in the right eye only. He describes the visual loss as a curtain that came up from below. His left eye is unaffected. What is the most likely diagnosis?

Accepted Answer

Branch retinal artery occlusion (BRAO) affecting the superior retinal artery - causing loss of the inferior visual field in the right eye (the retinal image is inverted)

Answer

Retinal detachment - which always starts in the upper visual field

Answer

Glaucoma - which causes sudden monocular field loss

Answer

Vitreous haemorrhage - which causes inferior field loss

Answer

Optic neuritis - which causes altitudinal field defects

uk-dipimc MCQ (SBA): Branch Retinal Artery Occlusion

A pre-hospital team is called to a 70-year-old male who has developed sudden painless loss of vision in the lower half of his visual field in the right eye only. He describes the visual loss as a curtain that came up from below. His left eye is unaffected. What is the most likely diagnosis?