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20 year old woman with back pain, neck pain, and blurry vision OS
Digital Journal of Ophthalmology 1997
Volume 3, Number 25
September 7, 1997
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Yichieh Shiuey, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
Vision: 20/25 +2 OD, 20/40+2 OS
Pupils: 2+ left afferent pupillary defect
External exam: Normal. 5'4" and 135 lbs
Motility: Full
Slit lamp examination: Normal ou. Anterior chambers deep and quiet.
Intraocular pressure: 16 mm Hg OU
Visual field Examination: See Figures 1-2
Fundus examination: See Figures 3-4
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Figure 1
Figures 1-2. Goldmann visual fields are shown. In the left eye there is an enlarged blind spot and depression of the inferior visual field, particularly nasally. There is also constriction of the I4e and I3e isopters. In the right eye there is an enlarged blind spot and there is depression of the inferonasal visual field. There is also mild constriction of the I4e, I3e and I2e isopters.

Figure 2

Figure 3
Figures 3-4. The right and left fundi are shown. Both the right and left fundi showed marked disk edema with blurred margins and tortuous retinal vessels.

Figure 4