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JAMA Ophthalmology Clinical Challenge
July 11, 2019

Intermittent Temporal Visual Field Loss in a Middle-aged Man

Author Affiliations
  • 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
  • 2Fort Lauderdale Eye Institute, Fort Lauderdale, Florida
JAMA Ophthalmol. 2019;137(9):1072-1073. doi:10.1001/jamaophthalmol.2019.1638

A 45-year-old man presented with floaters in his left eye and headaches for 2 months. He experienced left temporal field loss when lifting heavy objects. He took no medications and denied prior surgery, eye trauma, or pain. His best-corrected visual acuity was 20/25 OD and 20/30 OS. The only abnormalities on bilateral eye examination were 1+ levels of anterior vitreous cells and trace levels of posterior vitreous cells in the left eye, without vitreous haze, and a left retinal detachment extending from 1:30 to 10:00 o’clock, with macular involvement and without visible retinal tears. There were 360° left choroidal detachments.