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April 1966

Visual Phenomena Associated With Central Scotoma Caused by Obstruction of the Central Retinal Vein

Author Affiliations

Marblehead, Mass
Dr. Verhoeff is Emeritus Professor of Ophthalmic Research, Harvard Medical School, and Consulting Chief of Ophthalmology, Masachusetts Eye and Ear Infirmary, Boston.

Arch Ophthalmol. 1966;75(4):467-468. doi:10.1001/archopht.1966.00970050469004

In February 1959 I recorded my visual acuity with glass as 20/15+ in each eye. Soon after this, I discovered by means of a pinhole that I had a cataract (sclerosed lens) beginning in each eye. Then, my visual acuity began to fail, and by January 1963 had become very poor. However, with a dilated pupil and +3.5 OS added to my distance correction, I could read ordinary print with my right eye. At this time, I discovered that I had a large central scotoma in my left eye. On ophthalmoscopic examination, Feb 3, 1963, Dr. Paul Chandler found that the retina of this eye was covered with hemorrhages, and he made a diagnosis of obstruction of the central vein. The visual acuity of the left eye was 20/200 obtained by eccentric fixation.

The retinal hemorrhages have completely disappeared, but the central scotoma has remained. On a black target screen

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