2nd January 2024

A 54-year-old African American woman with hypertension presents with a one-week history

A 54-year-old African American woman with hypertension presents with a one-week history of decreased visual acuity and retrobulbar pain with eye movements in her left eye. Additionally, colour vision is grossly abnormal. Clinical examination shows a central scotoma and a relative afferent pupillary defect in the left eye. Which immediate investigations should be considered?

Select the SINGLE most appropriate option from the list below. Select ONE option only.