Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Smudge in My Vision

Smudge in My Vision Clinical Review & Education JAMA Ophthalmology Clinical Challenge Kristen H. Nwanyanwu, MD; Jennifer I. Lim, MD Figure 1. Fundus photograph shows yellow-white, multisized, subretinal, creamy lesions in the right eye. A 49-year-old woman noticed a “smudge” in the central vision of her right eye with asso- ciated photopsias. On examination, visual acuity measured 20/50 OD. Her local ophthal- WHAT WOULD YOU DO NEXT? mologist considered a white dot syndrome and recommended a systemic workup. Results of a complete blood cell count, comprehensive metabolic panel, antinuclear antibodies (in- A. Observation cluding DNA and ribosomal SSA/Ro), positron emission tomography and magnetic reso- nance imaging (MRI) of the brain, mammography, and B. Oral corticosteroid chest radiography were normal. Dermatologic exami- Quiz at nation revealed a nevus on the left arm, a nevus on her C. Vitreous biopsy jamaophthalmology.com left shoulder, and seborrheic keratosis on her left shoul- der. Three months later, at the Illinois Eye and Ear Infir- D. Extended workup mary, she reported an improvement in her vision but noted negative images of dots when her right eye was closed. Review of systems was negative. Visual acuities measured 20/30 OD and 20/20 OS. Slitlamp examination findings were normal; there were no http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Loading next page...
 
/lp/american-medical-association/smudge-in-my-vision-PRRwWK6J0V
Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2013.7410
pmid
24337560
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education JAMA Ophthalmology Clinical Challenge Kristen H. Nwanyanwu, MD; Jennifer I. Lim, MD Figure 1. Fundus photograph shows yellow-white, multisized, subretinal, creamy lesions in the right eye. A 49-year-old woman noticed a “smudge” in the central vision of her right eye with asso- ciated photopsias. On examination, visual acuity measured 20/50 OD. Her local ophthal- WHAT WOULD YOU DO NEXT? mologist considered a white dot syndrome and recommended a systemic workup. Results of a complete blood cell count, comprehensive metabolic panel, antinuclear antibodies (in- A. Observation cluding DNA and ribosomal SSA/Ro), positron emission tomography and magnetic reso- nance imaging (MRI) of the brain, mammography, and B. Oral corticosteroid chest radiography were normal. Dermatologic exami- Quiz at nation revealed a nevus on the left arm, a nevus on her C. Vitreous biopsy jamaophthalmology.com left shoulder, and seborrheic keratosis on her left shoul- der. Three months later, at the Illinois Eye and Ear Infir- D. Extended workup mary, she reported an improvement in her vision but noted negative images of dots when her right eye was closed. Review of systems was negative. Visual acuities measured 20/30 OD and 20/20 OS. Slitlamp examination findings were normal; there were no

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Dec 1, 2013

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month