Question

A 62-year-old man with long-standing hypertension presents with acute, painless loss of vision in his right eye over minutes. On examination, visual acuity is markedly reduced in the right eye, with a pale retina and a cherry-red spot at the macula. Which diagnosis is most likely?

Accepted Answer

Central retinal artery occlusion

Answer

Retinal detachment

Answer

Central retinal vein occlusion

Answer

Ischaemic optic neuropathy

Answer

Acute angle-closure glaucoma

Practice question

A 62-year-old man with long-standing hypertension presents with acute, painless loss of vision in his right eye over minutes. On examination, visual acuity is markedly reduced in the right eye, with a pale retina and a cherry-red spot at the macula. Which diagnosis is most likely?