In this Ocular Surgery News publication exclusive, Kristen Dunbar, MD, and Caroline Baumal, MD, of the New England Eye Center at Tufts University School of Medicine, discuss a case in which a fundus exam of the left eye showed an inferotemporal excavation in the optic nerve head with a serous retinal detachment.
A 19-year-old female college student was referred by an outside optometrist for retinal evaluation of her left eye. She initially presented for a routine annual exam with no visual complaints. On further questioning, she noted occasional “sparks” in her left eye when standing. She denied new floaters, spider webs or other visual symptoms. She reported no recent illnesses or history of trauma. She was born prematurely weighing 5.5 pounds and was placed on a ventilator in the neonatal intensive care unit for 3 weeks after birth. Her ocular history was significant for myopia and contact lens wear.
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