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Case Records of the Massachusetts General HospitalFree Preview

Case 40-2008 — A 26-Year-Old Man with Blurred Vision

List of authors.
  • Dean M. Cestari, M.D.,
  • Ralph B. Metson, M.D.,
  • Mary E. Cunnane, M.D.,
  • and William C. Faquin, M.D., Ph.D.

A 26-year-old man was seen in the Neuro-Ophthalmology Clinic because of blurred vision and discomfort in the right eye. On examination, there was decreased visual acuity, loss of color vision, a relative afferent pupillary defect, a swollen optic nerve, and visual-field abnormalities. Computed tomography of the orbits and sinuses revealed sinusitis with erosion of the optic canals. A diagnostic procedure was performed.

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Funding and Disclosures

No potential conflict of interest relevant to this article was reported.

Author Affiliations

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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