The Echocardiogram report revealed moderate anterior mitral valve
prolapse in the A2 region with moderate eccentric mitral valve
regurgitation. There was mildly dilated left ventricular and atrial
chamber size and a severely dilated aortic root (5.9cm) and 1.98 when
indexed to his body surface area (BSA). A plain CT scan of the chest
confirmed moderate aortic root dilatation.
The patient was referred to the ophthalmologist and the findings were as
follows:
Visual acuity: This was found to be myopic in both eyes and worse in the
left eye. The unaided vision was 6/18 and 6/60 in the right and left
eyes respectively.
Cornea: Found to be thinner than the average. Central corneal thickness
was 457 and 476 in the right and left eyes respectively.
Iris: There were no transillumination defects noticed in either eye.
Lens: The patient had ectopia lentis in both eyes. The lens in the right
eye was subluxated superiorly and superonasally in the left eye.
The patient was started on oral Carvedilol 6.25mg daily by the
cardiologist and is currently on 6 monthly reviews with both the
cardiologist and the opthalmologist. The palpitations have since
subsided and the easy fatigue improved.