PMC10359668_01
Optic disc photos at presentation demonstrating very subtle right optic disc edema with cotton wool spots in the retina. The left optic nerve had pallid optic disc edema with peripapillary hemorrhages.
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F1
There was a left RAPD, and dilated fundus examination showed mild right optic disc edema with multiple cotton wool spots in the right eye and left pallid optic disc edema (Fig. 1).
Optical coherence tomography of the retinal nerve fiber layer at initial (a, left) and final presentation (b, right).
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F2
OCT of the retinal nerve fiber layer revealed increased thickness of 127 mum OD and was not measurable due to a segmentation error OS (Fig. 2a). OCT retinal nerve fiber layer revealed resolved edema OU and mild thinning OS (Fig. 2b).
Humphrey visual fields demonstrating severe depressed points in the right eye and complete defect in the left eye.
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F3
His right eye remained 20/20 with no visual field defect, and his left eye was NLP (Fig. 3).