Quiz: Decreased Vision in the Right Eye for Years

A 51-year-old African American female with a history of controlled hypertension has noted decreased vision in the right eye for several years.  She denies any associated eye pain, photosensitivity, redness, swelling, or precipitating events.  Ocular history is notable only for moderate myopia.  Systemic medications include:  lisinopril, hydrochlorothiazide, and amlodipine.

On examination, the patient has a best-corrected visual acuity of 20/60 (6/19) in the right eye and 20/25 (6/7.5) in the left eye.  Anterior segment and lens exam of each eye was unremarkable. Posterior segment exam is shown in the fundus images above. Test your knowledge by taking the quiz!