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JAMA Ophthalmology Clinical Challenge
September 2018

A White Lesion in the Retina

Author Affiliations
  • 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada
JAMA Ophthalmol. 2018;136(9):1064-1065. doi:10.1001/jamaophthalmol.2017.6819

A 16-year-old girl presented with blurry vision. She had no other symptoms and was otherwise healthy with no medical history of any disease or surgeries. She was not taking any medications. Her family history was also unremarkable.

The patient’s best-corrected visual acuity was 20/20 OU, results of pupillary examination were normal without relative afferent pupillary defect, and results of the rest of the anterior segment examination were unremarkable. Posterior segment examination of the right eye revealed a slightly elevated, white, multicystic lesion approximately 3 disc diameters that was located inferior to the optic nerve (Figure 1). Results of examination of the left eye were unremarkable. The patient’s blurred vision was resolved with new eyeglasses.