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JAMA Ophthalmology Clinical Challenge
March 2016

Chronic Visual Disturbance in a Young Healthy Man

Author Affiliations
  • 1Department of Ophthalmology, University of Illinois at Chicago College of Medicine
JAMA Ophthalmol. 2016;134(3):341-342. doi:10.1001/jamaophthalmol.2015.3633

A healthy man in his mid-20s was referred to evaluate persistent, stable metamorphopsia in the left eye for 1 year. He had an enlarged blind spot in his left visual field for 2 years and denied symptoms of headaches, photophobia, blurred vision, or eye pain. Within the last year, the patient stated he had a 2-diopter hyperopic shift in his refraction of the left eye. He had undergone 2 magnetic resonance imaging (MRI) studies of his orbits over the previous year. Both were read as normal. His medical history was significant for attention-deficit/hyperactivity disorder and depression. He denied any previous ocular surgical procedures or trauma to either eye. He was prescribed bupropion.

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