A 51-year-old African American female, with a history of controlled hypertension, has noted decreased vision in the right eye for 1.5 years. She denies any associated eye pain, photosensitivity, redness, swelling, or precipitating events. Ocular history is only notable for moderate myopia. Systemic medications include: lisinopril, hydrochlorothiazide, and amlodipine.
Examination revealed best-corrected visual acuity of 20/70+ in the right eye and 20/25 in the left eye. The dilated fundus exam is shown in the images above. The remainder of the examination was normal.