Author: Jagruti Godhaniya / Editor: Yasmin Sultan / Codes: / Published: 22/02/2023
A 76-year-old female presents to the emergency department (ED) after noticing loss of vision in the left eye 1 hour before whilst grocery shopping. She denies any ocular pain or diplopia. On further questioning she reports a bi-temporal headache, general fatigue, myalgia and weight loss over the last few months.
Previous medial history includes:
- Hypertension
- AF (on Apixaban)
- Breast cancer treated 20 years ago
- Chronic joint pain and stiffness
Observations are as follows:
- Heart rate: 73 beats per minute
- Blood pressure: 151/87
- Respiratory rate: 17
- Temperature: 36.6 degrees Celsius
- O2 saturations: 100% on air
On examination there is a right relative afferent pupillary defect (RAPD), visual acuity in the left and right eye is hand movement and 6/6 respectively.
