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JAMA Ophthalmology Clinical Challenge
November 2016

A Slightly Displaced Pupil in One Eye

Author Affiliations
  • 1Department of Ophthalmology, University Hospitals Eye Institute, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio
JAMA Ophthalmol. 2016;134(11):1327-1328. doi:10.1001/jamaophthalmol.2016.2152

A boy aged 17 years presented after noticing that his right pupil was off-center. He had a high hyperopic refractive error, and the magnification of his spectacle lenses highlighted the eccentric pupil. He had no associated symptoms of decreased vision, ocular pain, diplopia, glare, or haloes and had no history of ocular infection, surgical procedure, or trauma. His mother, also hyperopic, previously underwent prophylactic laser iridotomy for anatomically narrow, occludable angles.

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