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1. CASE PRESENTATION

2. CHIEF COMPLAINT
Shamshad Bibi, a 45-year-old female, presented to the ophthalmology
clinic with a chief complaint of :
sudden, painless loss of vision in her right eye over the past 4 days

4. GENERAL PHYSICAL EXAMINATION
• Well oriented lady , Vitals:
• Blood Pressure 125/88 mmhg on admissioon
• Pulse 80/min,
• Temp 98 F.
• SYSTEMIC EXAMINATION; unremarkable

5. EXAMINATION
Ocular Examination Right eye Left eye
VA 6/6 6/6
Pupillary Light Reflex Present Present
RAPD Absent Absent
Ocular Movement Full in all gaze Full in all gaze

6. CONT
Right eye Left eye
Eye lids Normal Normal
Eye Lashes Normal Normal
Conjunctiva Normal Normal
Cornea Transparent Transparent
AC Normal Normal
Iris Normal in color and pattern Normal in color and pattern
Pupil RTL RTL
Lens Transparent Transparent
IOP 13mmHg 14mmHg

7. FUNDI
• B/L severe NPDR with Optic disc swelling Rt>LT and Rt macuar edma