Case 59
History: A 58 year-old man presented with a right visual disturbance described as dimming of
his right inferior visual field. The visual acuity was 6/9 in the RE and 6/6 in the LE. Fundoscopy 
revealed two shiny emboli (cholesterol) in the right superior retinal artery. He was referred to 
the cardiologist for further investigations. Echocardiogram was normal but the carotid artery 
ultrasound revealed bilateral atheroma with narrowing of 40%. No endarterectomy was 
performed as the narrowing were below the critical level. He was advised to take 75mg of 
aspirin a day. The emboli disappeared at 3-month follow up.
Index Next Page Success in MRCOphth