Quiz: White Spot

TYK FI 51918

This 46-year-old man presents with blurred vision in the left eye that has worsened over the past 2 days. He reports intense redness and pain in that eye starting one day earlier. He also reports a “white dot” on the cornea with slight blurring of his vision 2 months ago. He has no significant past medical or eye history. He denies any history of eye trauma. Visual acuity is 20/25 in the right eye and “hand motion” in the left eye. IOP is 14 mmHg in the right and 24 mmHg in the left. He has a mid-dilated pupil in the left eye. A slit lamp photo of the left eye is shown above. Dilated fundus examination of the right eye was within normal limits.

Last Updated: October 31, 2022

12 thoughts on “Quiz: White Spot”

  1. Good review for someone who doesn’t see this everyday. However, there was no explanation for the white dot, and the case is titled, “white spot”. Perhaps I missed this. Is it endothelial deposition?

    • The “white dot” referenced by the patient and the “white spot” case title are both referring to the patient’s white, cataractous lens. It was this observation and the blurry vision which caused the patient to present for the evaluation.


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