Worsening vision and nasal discharge reveal a sinister prognosis

Will oral prednisolone help or is there more going on?

Morgan, 23, presents to her GP complaining of worsening vision in her right eye over the past few months.

Young woman at optometrist

She has attributed this to increased computer work, however, in the past week, the deterioration has been marked.

She reports the vision in her right eye is much worse than the left, and she can only see the contour of shapes.

The vision in her left eye is unaffected. She has no ophthalmological history of note and no known refractive errors.

There is no history of trauma