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JAMA Ophthalmology Clinical Challenge
February 2018

A Peripapillary Defect in a Woman With Myopia

Author Affiliations
  • 1Department of Ophthalmology, University of California, San Francisco
JAMA Ophthalmol. 2018;136(2):215-216. doi:10.1001/jamaophthalmol.2017.4338

A woman in her 60s underwent evaluation of an unusual optical coherence tomography (OCT) finding. She had no ocular complaints. Her ocular history included myopia with a spherical equivalent of −5.50 OD and −4.00 OS, normal-tension glaucoma controlled with latanoprost in both eyes, and mild cataracts. Systemic medical history included use of aspirin, 81 mg/d, and a multivitamin. She frequently consumed alcohol; however, she denied smoking or recreational drug use. She denied any known allergies, and findings of review of systems were unremarkable.

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