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JAMA Ophthalmology Clinical Challenge
May 2017

Rapid Loss of Vision With the Onset of a White Ring Surrounding the Optic Nerve

Author Affiliations
  • 1NJ Retina, New Brunswick, New Jersey
  • 2The Retina Institute, St Louis, Missouri
JAMA Ophthalmol. 2017;135(5):493-494. doi:10.1001/jamaophthalmol.2016.4476

A white man in his 50s initially presented in the fall of 2015 with “macular changes” noticed by his referring optometrist. The patient was asymptomatic at the time. He had a history of hypertension and non-Hodgkin lymphoma, which was last treated in 2012 without evidence of recurrence. His visual acuity was 20/25 OU, and neither fundus was seen to be abnormal. The vitreous was clear in both eyes. Optical coherence tomography (OCT) revealed vitreomacular adhesion in the right eye and a macular posterior vitreous detachment in the left. The patient was told to follow-up as needed.

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