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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:189-195 January 17, 2002 Number 3
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Case 2-2002— A 58-Year-Old Woman with Unilateral Loss of Vision and Postmenopausal Bleeding
Donald J. D'Amico, M.D., and Thaddeus Dryja, M.D.

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Presentation of Case

A 58-year-old woman was evaluated at the hospital because of loss of vision in her right eye.

The patient had been in good general health until six months earlier, when narrow-angle glaucoma developed. Bilateral laser peripheral iridectomies were performed at that time, but she also required topical timolol, brimonidine, dorzolamide, and latanoprost; bilateral immature cataracts were followed.

Six months later, the patient consulted an ophthalmologist because of recent loss of vision in the right eye. The best-corrected visual acuity was 20/400 in the right eye and 20/50 in the left, with intraocular pressures of 26 and 25 mm Hg, respectively. . . . [Full Text of this Article]

Differential Diagnosis

Idiopathic Uveal Effusion Syndrome

Posterior Scleritis

Vogt–Koyanagi–Harada Syndrome

Sarcoidosis

Infectious Granulomatous Conditions

Neoplastic Disorders

Clinical Diagnosis

Dr. Donald J. D'Amico's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References




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