Ophthalmology, Tennent Institute of Ophthalmology, Glasgow, UK
Ophthalmology, Tennent Institute of Ophthalmology, Glasgow, UK.
BMJ Case Rep. 2023 Aug 10;16(8):e253744. doi: 10.1136/bcr-2022-253744.
We report a man in his 80s who described sudden unilateral loss of vision, resulting in extensive urgent investigations by the accident and emergency department team. Subsequent evaluation of visual acuity with pinhole demonstrated significant improvement, triggering further questioning. It transpired that he was mistakenly wearing his wife's glasses, which accounted for his visual symptoms. This case illustrates the importance of a stepwise approach to visual assessment, and avoiding assumptions, as using the simple pinhole test could have avoided extensive investigations and their subsequent costs.
我们报告了一位 80 多岁的男性患者，他描述了突发性单侧视力丧失，导致急诊部门团队进行了广泛的紧急调查。随后使用针孔评估视力时发现明显改善，这引发了进一步的询问。事实证明，他误戴了他妻子的眼镜，这就是他出现视觉症状的原因。这个病例说明了逐步评估视觉的重要性，避免想当然，因为使用简单的针孔测试本可以避免广泛的调查及其后续费用。
