HISTORY

A 50 year old farmer came in due to blurred vision.

The condition started about 3 years prior to consultation as painless and gradual blurring of vision of both
eyes which at that time, he was still able to recognize faces.
At 1 year prior to consultation, blurring of vision of both eyes worsened recognizing only hand movement.
No consultations done nor medications taken or instilled.
Past history revealed no trauma. Patient is hypertensive and takes medications irregularly.
He has a family history of hypertension, heart disease, cataract, and glaucoma.

PERTINENT PHYSICAL AND OPHTHALMOLOGIC FINDINGS

GS:
conscious, coherent, ambulatory
VS:
BP: 180/100
PR: 80/min
RR: 18/min
Ophthalmologic findings:
Visual acuity:
OD: light perception with projection
OS: hand movement
External examination: no proptosis, no active skin lesions, (+) leukocoria on both eyes
Pupils: 3-4 mm equally and briskly reactive to light
Ocular motility:

Slit-lamp examination findings:

OU: no conjunctival congestion, no ciliary injection, clear corneas, adequate anterior chambers,
fully opacified lens

Schiotz tonometry:

OD: 17 mmHg
OS: 17 mmHg