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27 year old woman with blurred central vision OS and headache
Digital Journal of Ophthalmology 1997
Volume 3, Number 18
May 15, 1997
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Yichieh Shiuey, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
Vision: 16/40--> 16/15 (PH) OD; 16/200 OS
Pupils: 2+ left afferent pupillary defect
External exam: Normal
Motility: Full, slight increase in left periorbital pain with extreme right gaze
Slit lamp examination: Normal ou. Anterior chambers deep and quiet.
Intraocular pressure: 15 mm Hg OU
Visual field Examination: See Figures 1-2
Fundus examination: See Figure 3-4
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Figure 1
Figures 1-2. Goldmann visual fields are shown. There is a dense central scotoma OS. In addition, there was a paracentral visual field defect OD.

Figure 2

Figure 3
Figures 3-4. The right and left fundi are shown. The right fundus demonstrated fine striae in the macula, which were evident with slitlamp biomicroscopy. The left fundus showed an elevated serous retinal detachment of the macula and the peripapillary retina. The left disk appeared slightly hyperemic, but appeared otherwise normal.

Figure 4