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48 year old man with bilateral, progressive visual loss over 20 years
Digital Journal of Ophthalmology 1996
Volume 2, Number 5
October 22, 1996
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Dale Heuer, MD | Doheny Eye Institute, University of Southern California, Los Angeles, California
Randy Nguyen, MD | Doheny Eye Institute, University of Southern California, Los Angeles, California
Michael B. Yang, MD | Doheny Eye Institute, University of Southern California, Los Angeles, California
Examination
Vision: 20/30 OD, 20/25 OS
Pupils: Normal OU, No APD
Motility: Full OU
Color: Normal OU
External: Normal OU
Slit lamp examination: Normal OU
Tonometry: 16 OU, ranges FROM 14-18 OU during diurnal curve measurements
Gonioscopy: Grade 4 angles, open 360 degrees without pigment, iris processes, synechiae, or bombe OU
Fundus examination: Macula and vessels appeared normal, the disks are shown in Figures 1-2
Visual fields: See Figures 3-4
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Figure 1
Figures 1-2. Disks SHOW cupping and inferior temporal notching OU

Figure 2

Figure 3
Figures 3-4. Arcuate defects present in both visual fields.

Figure 4