A young patient presents with the triad of chronic progressive external ophthalmoplegia, salt and pepper appearance on retina and heart block. Diagnosis?
- Miller-Fisher Syndrome
- Myotonic dystrophy
- Kearns-Sayre syndrome
- Oculopharyngeal dystrophy
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Features of NVI when compared to normal iris vessels!
1) Iris vessels are present in stroma. New vessels are superficial.
2) Iris vessels are radially arranged. New vessels are irregularly arranged.
3) Size of iris vessels are uniform. New vessels are of varying sizes.
4) New vessels are leaky on doing fluorescein angiography/ fluorophotometry
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Image from Rajan Eye Care Hospital
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Mind mapping macular edema assessed clinically on slit lamp biomicroscopy.
Art by @mahuness
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