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Exam questionKROK 2Medicine ยท 2023

Within 2-3 hours, a 58-year-old man developed multiple spots in his vision. after which the vision in his right eye darkened. Examination detects eccentric visual acuity of 0.02. The pupil is moderately dilated, its direct response to light is reduced. Ophthalmoscopy detects multiple hemorrhages of varying size and shape on the fundus of the eye ("squashed tomato" sign), the optic disc is edematous and hyperemic. The patient has a history of essential hypertension of II B degree. What is the most likely diagnosis in this case?

Answer options

  1. Hypertensive angiopathy.
  2. Embolism of the central retinal artery
  3. Thrombosis of the central retinal vein
  4. Diabetic retinopathy
  5. Hypertensive angioneuropathy
Correct answer

Thrombosis of the central retinal vein

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