She called because she was concerned that the vision had not returned. When you examine the patient you find a 69 year-old female with a history of angina and a prior heart attack. She is taking multiple cardiac medications. Confrontation visual fields are full in the right eye but show a superior altitudinal defect in the left eye.
Pupillary responses show a relative left afferent defect.
Examination of the right fundus is normal. The left fundus is as shown in the photograph. Have her come in the following day during normal business hours. All of the above. Often times delays in proper care may result in the permanent loss of vision that may otherwise have been spared.