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A man with blurred vision and headache
  1. Yen-Chiang Lee,
  2. Yu-Chang Liu,
  3. Wei-Jing Lee
  1. Emergency Medicine, Chi Mei Foundation Hospital, Tainan, Taiwan
  1. Correspondence to Dr Wei-Jing Lee, Emergency Medicine, Chi Mei Foundation Hospital, Tainan, Taiwan; saab931103{at}

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Clinical Introduction

A 51-year-old man with a medical history of hypertension presented to the ED with a 2-week headache and blurred vision, in addition to a visual defect for over 1 month. Under ophthalmic examination, visual acuity was 0.8/0.4 (1.0) and visual field test showed right 3/4 quadrantanopsia. Ocular point-of-care ultrasound was performed (figure 1).

Figure 1

Point-of-care ultrasound of the right eye.


What is the most likely diagnosis?

  1. Retrobulbar mass

  2. Retinal detachment

  3. Papilloedema with increased intracranial pressure

  4. Vitreous haemorrhage


C. Papilloedema with increased intracranial pressure.

Ultrasonographic optic nerve sheath diameter (ONSD) and optic disc height measurement can serve as a rapid, non-invasive …

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  • Contributors The authors have provided equal contribution to this article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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