Acute Visual Loss - Case 4

A 52 year old male presents to you with a sudden loss of vision out of the top portion of his right eye (OD).  There was no pain associated with his visual loss.

On examination, his visual acuity was 20/20 bilaterally with his glasses.  Confrontation visual field testing revealed a defect superiorly OD.  Pupils were equal in size and symmetrically reactive to light.  Funduscopy appeared normal OS and had the following appearance OD:

Case 4

What is the diagnosis?

Retinal detachment
Retinal artery occlusion
None of the above