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Question: Can you identify this condition?

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Vol 56: april • aVril 2010 Canadian Family Physician•Le Médecin de famille canadien

355

Ophthaproblem

Ophthaproblem

Can you identify this condition?

Amaka A. Eneh Kelly D. Schweitzer

MD

Sanjay Sharma

MD

A

50-year-old healthy man presents to a fam- ily medicine clinic and mentions that he has never before had his eyes checked. He has no ocular complaints. His visual acuity is 20/20 bilaterally, with an intraocular pressure of 14 mm Hg (normal range 10 to 21 mm Hg).

Cornea, pupil, and lens examination results are normal. However, fundus examination of the left eye reveals a feathery, superficial, white lesion extending from the disc margin. The macula is unchanged.

This most likely diagnosis is

1. Primary open-angle glaucoma 2. Optic nerve coloboma

3. Myelinated retinal nerve fibre layer 4. Optic nerve hypoplasia

Answer on page 357

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