Vision Loss

Name: Jacob White

Age: 56 years old

Date of Birth: 1st December 1968

Location: Lay’s Surgery

Occupation: Investment Banker

"I noticed my vision becoming blurry on the way to work this morning."

• Site: Only my right eye. Which is also my better eye!

• Onset: Started this morning when I was on the subway to work

• Character: It was very sudden, without any warning. Felt like a curtain closing on my eye (peripheral vision loss). No pain

• Precipitant: No trauma or injury

• Assoc Sx:

  • No redness

  • No discharge or watering

  • Both near and far vision affected

  • Noticed some floaters in my right eye

• Exacerbating Factors: None

• Relieving Factors: None

• Recent illness: None.

• Recent travel: None.

• Previous episodes: Never experienced this before.

• Ideas: "Do you think I’ve got an infection?"

• Expectations: “Is there something that can be done?"

• Concerns: “My eyes are very important for my work! It won’t be permanent will it?"

• Bowel habits: Nil

• Urinary habits: Nil

• Appetite: Same as usual.

• Sleep: Same as usual

• Weight: No change 

• Pain in the chest/abdomen: None

• Headaches: None

• Fever: None

• Cardiology: Normal

• Respiratory: Normal

• Upper limb neurology: None

Previous hospital admissions: None

Previous surgeries: None

Medical conditions:

• T2DM

Medications:

• Metformin

Allergies:

• None.

My grandmother had to undergo some eye operation when she was younger but I’m not sure what for

• Smoking: Never

• Alcohol: Occasional can of beer on the weekends

• Recreational drugs: Never

• Diet: I cook most of my meals

• Exercise: I try to go on runs everyday before work

• Ill contacts: No one around me was recently ill

• Home: Lives with wife and daughter in an apartment

• Active Daily Living: Independent with all ADLs

• Occupation: I work as an investment banker