Case presentation A 34-year-old male patient, a salt mine worker, came to the hospital complaining of blurred vision in both eyes for the previous ten years. He also complained of fixed and non-progressive night vision. However, vital signs and a general physical assessment were all within the normal range. Medical and family history There was no history of nyctalopia in the family. Uveitis blood tests were negative.
Suicide attempt in the past by drinking the chemical used in the iodination of salt Radiographic examination Visual acuity was 6/36 (oculus dextrous) and FCCF (oculus sinister) on ocular testing. Both eyes' pupillary responses were sluggish. Fundus examination: Significant outer retinal atrophy, choroidal veins, and peripheral sub-retinal scarring. (Cover image A & B) Foveal atrophy is seen in the left eye. On indirect ophthalmoscopy, a tiny peripheral rim of a normal…
