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40 year old woman with a five-day history of visual loss in the right eye
Digital Journal of Ophthalmology 1997
Volume 3, Number 28
November 14, 1997
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Anthony J. Aldave, M.D. | Wills Eye Hospital, Philadelphia, PA
Examination
Vision:20/20 OU uncorrected
Color Plates:Normal color vision OU
Pupils: Equal, reactive, No APD
Amsler grid: no metamorphopsia OU
Visual Field: Confrontational visual fields demonstrated a large temporal scotoma in the right eye; the left eye was full to confrontation.
Motility: Full OU
Applanation pressure: 19 mmHg OD, 13 mm Hg OS
Slit lamp examination:normal anterior segments OU
Fundus examination: See Figures 1-3
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Figure 1
Figures 1-2. Ophthalmoscopy of the right eye revealed small, discrete white lesions at the level of the deep retina or retinal pigment epithelium scattered over the posterior pole. More lesions are noted nasally. The optic disc and macula were normal.

Figure 2

Figure 3
The left fundus was unremarkable