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Ophthaproblem. Myelinated retinal nerve fibre layer.

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1730 Canadian Family Physician•Le Médecin de famille canadien❖VOL 47: SEPTEMBER • SEPTEMBRE 2001

clinical challenge

❖

défi clinique

Ophthaproblem

clinical challenge

❖

défi clinique

A

healthy 56-year-old woman came to her family doctor for troublesome migraine headaches. Fundoscopic findings were nor mal for her left eye, but her right eye showed some abnormalities.

The appearance of the optic disk is compatible with the patient’s having which of the following?

1. Myelinated retinal nerve fibre layer 2. Papilledema

3. Pseudopapilledema 4. Astrocytic hamartoma

Answer on page 1741

Dr Baxter is a third-year resident in the Department of Ophthalmology at Queen’s University in Kingston, Ont.

Dr Sharma is an Associate Professor in the Department of Ophthalmology and an Assistant Professor in the Department of Epidemiology at Queen’s University.

Stephanie Baxter, MD Sanjay Sharma, MD, MSC, MBA, FRCSC

FOR PRESCRIBING INFORMATION SEE PAGE 1918➛

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