A 40-year-old man presented with a 5-week history of headaches and blurred vision in both eyes. He had no significant medical history. He reported no chest pain, discomfort, or shortness of breath. Physical examination indicated blood pressure of 210/130. The visual acuity was 20/200 in both eyes. Fundus examination revealed optic-disk hyperemia and blurring, retinal hemorrhage, and a "star-like" lipid deposits (arrowhead).
Venous congestion was noted in both eyes (Panel A: Right eye; Panel B: Left eye). Urinalysis indicated polyuria and low urinary osmolality. What can be the likely reason for blurred vision? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
