Case Presentation A 73-year-old man presented with sudden-onset visual disturbances, describing colorful bubbles and silhouettes in the right visual field affecting both eyes. He also reported spatial disorientation, often reaching inaccurately to his right side.
He denied headache, fever, or other neurological symptoms. Medical History Ischemic heart disease, coronary stenting 15 years ago Poorly controlled diabetes mellitus Hyperlipidemia No regular medications Physical Examination Vital signs stable Neurological exam: right homonymous hemianopia, no other focal deficits No motor, sensory, or coordination abnormalities LaboratoryFindings Routine Labs: Hyperglycemia Impaired renal function Imaging Brain MRI: No acute abnormalities Electroencephalogram (EEG): Unremarkable Ophthalmologic Evaluation: Intraocular pressure: 17.2 mmHg (right eye), 14.9 mmHg (left eye) Bilateral optic nerve…
