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29 year old man with visual symptoms and headaches
Digital Journal of Ophthalmology 1997
Volume 3, Number 14
March 4, 1997
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Yichieh Shiuey, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
Vision: 20/20 OD, 20/20 OS
Color: 8/8 Ishihara color plates identified correctly in each eye
Pupils: Round and equal in size, briskly reactive, No APD
External: See Figured 1-3
Slit lamp examination: See Figures 4-5
Fundus examination: Normal OU
Goldmann Visual Fields: Normal OU
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Figure 1
This patient had a broad nasal bridge. On close inspection the patient had an increased intercanthal distance of 47 mm with lateral displacement of the medial canthi. The lacrimal puncta were also laterally displaced, relative to the medial canthus. The patient had a normal interpupillary distance of 58 mm.

Figure 2
Figures 2-3. This 29 year old patient had greying of the hair near his right temple. On his left arm there was a patch of grey hair with a well circumscribed area of underlying skin hypopigmentation.

Figure 3

Figure 4
Figures 4-5. Iris heterochromia was present with a blue iris on the right and a green iris on the left.

Figure 5