“Dude, no fluoresceins

today”
Darius M. Moshfeghi, MD
Stanford University
Chief Complaint

“Dude, I can’t see”

 Ocular History
• RPE disturbance fovea OD 2004
• Thought to be secondary to unknown
laser injury
• Vision 20/60-20/80
 History
• 37 y.o. male certified ophthalmic
photographer
• Labile hypertension
• Migraine
• Tachycardia
 History
• Elevated norepinephrine,
normethanephrine
• Suspected pheochromocytoma
• Full body CT negative
• Octreotide test negative
 Physical Findings
• 20/400 OD
• Normal anterior segment
10/06/2004
06/24/05
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06/26/07
 06/26/07

“Dude, no fluoresceins today”

 06/26/07
• 20/400 OU
• Quiet
• Normal tensions
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 10/06/07
• 20/400 OU
• No fluid