Clinical Reasoning: A 60-Year-Old Diabetic Woman With Fluctuating Visual Disturbances.
Kevin Yan, Nancy J Newman
✦ AI-curated · Sources linked
Case in brief
A 60-year-old woman with poorly controlled diabetes presented with fluctuating visual disturbances, including bilateral homonymous visual field defects and positive visual phenomena. Examination and assessment of her visual fields were crucial in localizing the abnormalities. The case underscores the need for a comprehensive differential diagnosis in patients with diabetes experiencing visual changes.
Diagnostic / clinical pearl
In diabetic patients, fluctuating visual disturbances can indicate various underlying pathologies, including ischemic optic neuropathies and cortical lesions, necessitating thorough visual field assessment for accurate localization.
Why it matters
Understanding the potential causes of visual disturbances in diabetic patients can aid in timely diagnosis and management, preventing further complications related to visual impairment.