Optic disc oedema in first degree relatives with different macrovascular risk factors (type 1 diabetes and hypertension)

Answers on p 275. ### CASE 1 A 43 year old man with type 1 (insulin dependent) diabetes for 16 years presented to the ophthalmology clinic with sudden onset of painless loss of vision in the right eye. On examination, visual acuity in the right eye was reduced to counting fingers. An afferent pupillary defect was noted and fundoscopy revealed a pale oedematous disc with surface flame   haemorrhages (fig 1B). Visual acuity and examination of the left eye were normal. …