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Ophthalmology General a49c2f27

Significant loss of vision in a patient with hypeension can occur due to all of the following, except:

A
Occipital infarct
B
Anterior ischemic optic neuropathy
C
Papilloedema
D
Retinal hemorrhage
High-Yield Explanation
C i.e. Papilloedema In papilloedema visual acuity & pupillary reactions remain normal (almost) until optic atrophy sets in. Q It presents with painless & gradually progressive loss of vision Q with enlargement of blind-spot & progressive contraction of visual field. In papilloedema the visual loss is in significant. In papilloedema there is painless gradually progressive loss of vision which is usually bilateralQ which occurs after a long time only when optic atrophy sets in. Lesions of the calcarine coex (a pa of occipital lobe) usually produces a macular sparing congruous homonymous hemianopia, whereas injuries to the tip of the occipital coex produces the same without macular sparing. B/L occipital coex lesion 1/t coica blindness. Clinical entity in spontaneous Anterior Ishchemic Optic Neuropathy (AION) comprises of sudden loss of vision. Retinal haemorrhage can of course lead to quite significant loss of vision.

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