ruhighazi
Forum Senior
Topics: 23
Posts: 76
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An 18-year-old male presents to the ED with his
mother complaining of right-sided monocular blindness
after being struck in the face by a younger sibling. Examination
of the head and neck shows no obvious signs of trauma. Visual acuity is “no light perception” OD and 20/20 OS. Pupillary response is normal, and there is no
afferent pupillary defect. Slit lamp examination and fundoscopy
are normal. Neurologic examination is nonfocal.
The most likely etiology of this patient’s disorder is:
(A) cortical blindness
(B) functional blindness
(C) retinal detachment with macular involvement
(D) vitreous hemorrhage
(E) traumatic lens dislocation
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Ruhighazi
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| babli
Forum Guru
Topics: 40
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B
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| achilles
Forum Guru
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b-functional blindness.
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| marasmus
Forum Junior
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Posts: 42
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can some one pls explian the mechanism
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| study_ing
Forum Fanatic
Topics: 180
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normal optha exam wud rule out the last three.
i dont think the injury was severe enough to cause cortical blindness. Besides, it wud not result in monocular blindness. a bilateral homonymoys defect wud result.
that wud leave fxal blindness. is that a psychological disorder?
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| cbenitesch
Forum Senior
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B
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| ssrpk
Forum Fanatic
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wht exactly is functional blindness? and how? even if it is, why is light reflex normal?
btw how long does it take for fundoscopy to detect the retinal detachment????
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| star1
Forum Guru
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Functional blindness is normal vision but eyelids are involuntarily n forcibly closed due to orbicularis muscle spasm...> Blepharospasm...
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| ssrpk
Forum Fanatic
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exactly! and wht is OD and OS
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| study_ing
Forum Fanatic
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D and S mean rt and left
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