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Case Records of the Massachusetts General Hospital
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Volume 354:741-748 February 16, 2006 Number 7
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Case 5-2006 — An 11-Year-Old Girl with Loss of Vision in the Right Eye
David S. Walton, M.D., Shizuo Mukai, M.D., Eric F. Grabowski, M.D., John E. Munzenrider, M.D., and Thaddeus P. Dryja, M.D.

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Presentation of Case

Dr. Torsten Wiegand (Massachusetts Eye and Ear Infirmary): An 11-year-old girl was evaluated at our institution because of a loss of vision in the right eye.

One month earlier, she had noticed decreased vision in her right eye, without pain, photophobia, excessive lacrimation, or discharge. She told her mother about the problem; since her vision was normal in the left eye, they jointly decided not to seek medical attention but to wait and see if her vision would improve spontaneously.

Four weeks later, after a routine eye examination at school, the girl was referred to an ophthalmologist for evaluation. On . . . [Full Text of this Article]

Differential Diagnosis

Inflammatory Disorders

Vascular Disorders

Neoplasms

Clinical Diagnosis

Dr. David S. Walton's Diagnosis

Pathological Discussion

Anatomical Diagnosis


Source Information

From the Pediatric Service, Massachusetts General Hospital (D.S.W., E.F.G.); the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary (D.S.W., S.M., T.P.D.); the Department of Radiation Oncology, Massachusetts General Hospital (J.E.M.); and the Departments of Ophthalmology (D.S.W., S.M., T.P.D.), Pediatrics (D.S.W., E.F.G.), and Radiation Oncology (J.E.M.), Harvard Medical School — all in Boston.


Related Letters:

Case 5-2006: Loss of Vision in the Right Eye
Harris D. J. Jr., Walton D. S.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:2078-2079, May 11, 2006. Correspondence

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