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JAMA Clinical Challenge
December 15, 2015

What Does This Retina Examination Show?

Author Affiliations
  • 1Division of Endocrinology, Metabolism and Molecular Medicine, Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA. 2015;314(23):2555-2556. doi:10.1001/jama.2015.9162

A 50-year-old man was evaluated for a 5-month history of blurry vision. He had been diagnosed with the metabolic syndrome many years previously but has not seen his physician in years. He reported no current use of medications. On examination, he had a body mass index of 30.6 and a blood pressure of 160/102 mm Hg. A dilated examination of the retina is shown in the Figure.