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Previous Volume 359:2825-2833 December 25, 2008 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Aaron Savar (Neuro-Ophthalmology): A 26-year-old man was seen in the Neuro-Ophthalmology Clinic of the Massachusetts Eye and Ear Infirmary (MEEI) because of blurred vision in the right eye.

Approximately 8 days earlier, vision in the right eye became hazy, and periorbital pain developed. Six days earlier, he was evaluated in the emergency department of this hospital. He had recently had an upper respiratory infection and nasal congestion, for which he was taking pseudoephedrine. The vital signs and general physical examination were normal. He was referred to the emergency department of the MEEI. He rated the discomfort of the right . . . [Full Text of this Article]

Differential Diagnosis

Approach to a Patient with Loss of Vision

Localization of the Lesion

Optic Neuropathy

            Glaucoma

            Optic Neuritis

            Ischemic Optic Neuropathy

            Compressive and Infiltrative Optic Neuropathies

Summary

Intraoperative Findings

Clinical Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Departments of Ophthalmology (D.M.C.) and Otolaryngology (R.B.M.), Massachusetts Eye and Ear Infirmary; the Departments of Radiology (M.E.C.) and Pathology (W.C.F.), Massachusetts General Hospital; and the Departments of Ophthalmology (D.M.C.), Otology and Laryngology (R.B.M.), Radiology (M.E.C.), and Pathology (W.C.F.), Harvard Medical School.

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