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A 34-year-old man with visual complaints and a tapetal-like reflex
Digital Journal of Ophthalmology 2008
Volume 14, Number 14
July 28, 2008
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Joao C.M.L. Ribeiro | Massachusetts Eye and Ear Infirmary
Cynthia S. Chiu | Massachusetts Eye and Ear Infirmary
Christine Ament | Massachusetts Eye and Ear Infirmary
John I. Loewenstein | Massachusetts Eye and Ear Infirmary
History
A 34 year-old man presented to the emergency room complaining of forehead pain. He lost consciousness temporarily and fell while urinating the day before and was seen at the Massachusetts General Hospital. Different etiologies for syncope, including cardiac and non-cardiac causes, were ruled out.

He had poor vision in the right eye since childhood, which he attributed to trauma. His brother also had a history of poor vision. The patient had no other significant medical history.
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