A white teenage boy was referred for 3 months of bilateral reduced central visual acuity characterized as atraumatic, painless, constant, symmetric, and nonprogressive. His parents reported that he had recently been hospitalized for a suspected overdose with the medications atomoxetine, quetiapine, melatonin, fluoxetine, bupropion, and clonazepam, and shortly after, he reported central visual acuity loss. A dilated fundus examination with normal results had been documented 6 months prior to our examination.
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Zhu I, Mieler WF, Francis AW. A Mysterious Central Scotoma in a Teenage Male Patient. JAMA Ophthalmol. Published online February 13, 2020. doi:10.1001/jamaophthalmol.2019.5383
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