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JAMA Ophthalmology Clinical Challenge
January 6, 2022

Macular Fluid in a Patient With a Reported History of Normal-Tension Glaucoma

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, Medical College of Wisconsin, Milwaukee
JAMA Ophthalmol. 2022;140(3):278-279. doi:10.1001/jamaophthalmol.2021.3326

A patient with a history of normal-tension glaucoma presented with a blurred spot in the central vision of the right eye. Examination showed best-corrected visual acuity of 20/50 OD, 20/30 OS, and intraocular pressure of 13 mm Hg OU. In the right eye, dilated fundus examination and optical coherence tomography (OCT) of the macula revealed subretinal fluid and cystoid spaces within the outer nuclear layer and inner nuclear layer in the nasal macula (Figure 1). Results of the left eye fundus examination and macular OCT were normal. In both eyes, the optic cup appeared very deep with a large cup-disc ratio.

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