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.