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JAMA Ophthalmology Clinical Challenge
January 2017

Vision Loss in a Teenage Girl With Postconcussion Syndrome

Author Affiliations
  • 1Pritzker School of Medicine, The University of Chicago, Chicago, Illinois
  • 2Northwestern University, Chicago, Illinois
  • 3Grassi Retina, Naperville, Illinois
  • 4Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago
JAMA Ophthalmol. 2017;135(1):75-76. doi:10.1001/jamaophthalmol.2016.2830

A girl in her teens with a history of postconcussion syndrome was referred for retinal evaluation after failing her vision examination for her learner's permit for driving. She complained of progressively declining, blurred vision for 2 years. She denied floaters, flashes of light, headaches, and eye pain. The patient had a concussion 1 year prior after becoming dehydrated during marching band practice, fainting, and hitting her head on pavement. Her postconcussion symptoms included headaches, dizziness, and dysarthria. The headaches and dizziness resolved but the dysarthria remained. Brain magnetic resonance imaging (MRI) within the last year was normal. She denied acute vision changes after the concussion. Family history was unremarkable for vision loss, glaucoma, inherited retinal degeneration, and autoimmune disease.

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