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A 59 year old woman with acute visual field loss
Digital Journal of Ophthalmology 2004
Volume 10, Number 9
September 15, 2004
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Seema Arora
Martyn P Carey | University of Birmingham
George A Shin-Shin | Wolverhampton Eye Infirmary
Examination
Vision: 6/5 OD; 6/60 OS
Colour plates: 17/17 OD, 0/17 OS
Confrontational visual fields: Full OD. Superotemporal visual field defect respecting vertical meridian OS
Pupils: Dense RAPD OS
Motility: Full OU
Slit lamp examination: Anterior segments normal OU
Tonometry: 16 OD 18 OS
Fundi: Normal (figures 1 and 2)
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Figure 1
Fundus OD at presentation.

Figure 2
Fundus OS at presentation.

Figure 3
Visual field OS and OD (Figure 4) at presentation demonstrating a left junctional scotoma characterized by an ipsilateral central scotoma and a contralateral superotemporal field defect.

Figure 4
Visual field OD at presentation.