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46-year-old gentleman with bilateral blurry vision and photophobia for 6 months.
Digital Journal of Ophthalmology 2004
Volume 10, Number 4
February 3, 2004
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Rishi Singh, M.D. | Massachusetts Eye and Ear Infirmary
Simmons Lessell, M.D. | Massachusetts Eye and Ear Infirmary
Ancillary Testing
Pathology
Ancillary Testing:
Goldmann Visual Field Testing - Bilateral ceco-central scotomas
Normal Hearing
Hemoglobin - 13.5 g/dl (low)
Hematocrit - 39.4 % (low)
White cells - 10.1 (normal)
RPR - non-reactive
Vitamin B12 - 466 pg/ml (normal)
Folic Acid 7.4 ng/ml (normal)
PCR analysis for mitochondrial DNA mutations found in Lebers Hereditary Optic Neuropathy - Negative for any mutation
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OS Visual Field
Presenting OS Visual Field

OD Visual Field
Presenting OD Visual Field