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JAMA Ophthalmology Clinical Challenge
September 2018

A Middle-aged Woman With Vision Loss and Cecocentral Scotoma

Author Affiliations
  • 1Department of Neurology, Mayo Clinic, Rochester, Minnesota
  • 2Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
JAMA Ophthalmol. 2018;136(9):1070-1071. doi:10.1001/jamaophthalmol.2018.0077

A woman in her early 50s was referred for decreased vision. Symptom onset was approximately 3 months prior to presentation when the patient began reporting difficulty reading. She was initially evaluated by her local eye care professional and noted to have visual acuity of 20/100 OD and 20/25 OS with cecocentral visual field defect in the right eye. Results of ophthalmoscopic examination of the optic nerves at this time revealed mild elevation of the optic nerves. Magnetic resonance imaging findings of the orbits were normal.