A 33-year-old healthy man of normal height and weight presented for a routine eye examination. Visual acuity was 20/40 OU. Color vision was 1/8 OU. There was no relative afferent pupillary defect. Anterior-segment examination was normal with no iris coloboma. Intraocular pressures were 15 mm Hg in both eyes. Automated perimetry demonstrated paracentral scotomas. Ophthalmoscopic examination showed bilateral optic disc dysplasia and situs inversus (Figure). Cranial magnetic resonance imaging was normal.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: M. Tariq Bhatti, MD, Department of Ophthalmology, The Permanente Medical Group, Kaiser Permanente, Northern California, 1011 Riverside Ave, 2nd Floor, Roseville, CA 95678 (email@example.com).
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
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