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A 39-year-old woman with unilateral metamorphosias
Digital Journal of Ophthalmology 2011
Volume 17, Number 4
November 20, 2011
DOI: 10.5693/djo.03.2011.11.001
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Lígia Ribeiro | Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia, Portugal
Sidnei Barge | Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia, Portugal
Luís Silva | Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia, Portugal
Arnaldo Brandão | Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia, Portugal
Dália Meira | Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia, Portugal
Examination
The patient was emmetropic. Her visual acuity was 6/6 in the right eye and 6/10 in the left eye. Pupillary response to light and accommodation was normal, and there was no relative afferent pupillary defect. Extraocular motility was normal. Anterior segment examination revealed no cells and no flare in the anterior chamber of both eyes. Intraocular pressure (IOP) was 14 mm Hg in both eyes.

Dilated fundus examination of the left eye showed multiple, round, yellow lesions with ill-defined margins in the posterior pole; there was a larger one, slightly elevated, inferior to the fovea associated with a small retinal hemorrhage (Figure 1A). No vitreous cells were detected. Examination of the right eye was normal.
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