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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}yahoo.com.tw

https://doi.org/10.1136/emermed-2021-211995

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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.

    Question

    What is the most likely diagnosis?

    1. Retrobulbar mass

    2. Retinal detachment

    3. Papilloedema with increased intracranial pressure

    4. Vitreous haemorrhage

    Answer

    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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    Footnotes

    • 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.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.