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Pranav Amin, MD; Terry A. Cox, MD
Durham, NC

Arch Ophthalmol. 1998;116:112-113.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 40-YEAR-OLD woman complained of a sudden onset of swirling central scotomas that appeared dark against a light background and light against a dark background. She had an episode of viral bronchitis 1 week earlier and had been taking oral contraceptives for several years.

The corrected visual acuity was 20/20 OU. There were paracentral scotomas that were denser temporally in both eyes and worse in the right eye (Figure 1). Direct ophthalmoscopy revealed bilateral reddish-brown areas in the macular area (Figure 2). These lesions could not be seen with indirect ophthalmoscopy but were visible with a 90-diopter lens. The results of fluorescein angiography were normal (Figure 3). Red-free frames highlighted the macular lesions (Figure 4). Indocyanine green angiography revealed no abnormalities.

Figure appears in full text version. Figure 1. Paracentral scotomas in the Humphrey visual field.

Figure appears in full text version. Figure 2. Fundus photographs showing . . . [Full Text of this Article]

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