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JAMA Ophthalmology Clinical Challenge
January 16, 2020

Anterior Optic Neuropathy in a Patient With Cyclical Fevers

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago
  • 2Eye Surgical and Medical Associates Inc, Visalia, California
  • 3Department of Ophthalmology, Stanford University, Palo Alto, California
  • 4Department of Neurology and Neurological Sciences, Stanford University, Palo Alto, California
JAMA Ophthalmol. 2020;138(3):314-315. doi:10.1001/jamaophthalmol.2019.4987

A 41-year-old man presented for evaluation of 2 weeks of blurred vision and pain in the left eye. The onset of vision decrease coincided with muscle pain, joint swelling, and headache. All of the symptoms except blurry vision resolved spontaneously after 3 days. Over the preceding 5 months, he had had approximately monthly similar episodes consisting of a few days of flulike symptoms and blurry vision, with full recovery between episodes. At the time of evaluation, the vision was decreased in the left eye, with pain in both eyes and deep throbbing in the back of the left eye.

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