Question

The most important concern of the ophthalmologists in this patient that requires emergency intravenous steroids to save her vision is?

1) Severe conjunctival congestion
2) Lid retraction
3) Restriction of extra ocular movements
4) Presence of relative afferent pupillary defect (RAPD)

Answer 1

The presence of relative afferent pupillary defect (RAPD) is the most urgent concern requiring intravenous steroids to prevent vision loss, suggesting severe optic nerve dysfunction.

Step-by-step explanation:

The most important concern of the ophthalmologists in a patient requiring emergency intravenous steroids to save her vision is 4) the presence of relative afferent pupillary defect (RAPD). RAPD indicates a severe asymmetry in the function of the optic nerves, typically arising from optic neuritis or severe retinal disease, which can be vision-threatening. This is a more urgent issue than conjunctival congestion, eyelid issues, or movement restrictions, which, while serious, are usually less indicative of conditions that might immediately threaten sight.