Features

Primary care in South Wales: White dot syndrome

Clinical Practice
This year, Specsavers in Haverfordwest won the Optician Award for Enhanced Optical Services. In this, the last in a monthly series of case studies based around these services, practice director Andy Britton describes the unusual case of a patient with a white dot syndrome

Patient initials: SC

DOB: 10/12/1999

Presentation: 24/07/2017

Reason for visit

Sudden onset of blurry vision in LE six days ago. Patient attended A&E who liaised with ophthalmology who requested a Band 1 EHEW assessment in our practice prior to being seen in secondary care. No pain, trauma, headaches, double vision, flashes or floaters were reported at initial assessment.

General health

Good, no systemic conditions or medication

Ocular history

This was their first sight test since childhood. No glasses or problems prior to this episode.

Family ocular history

No relevant issues

Lifestyle

Carpenter, driver, golf

Retinoscopy

RE Plano Clear reflex – no distortion

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