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TitleCase report of a patient with an acute idiopathic enlargement of the blind spot.
PurposeTo report a case of a patient with acute idopathic enlargement of the blind spot( AIBSE), without accompanying changes in the optic disc appearance.
MethodsA 37 year-old patient underwent an ophthalmologic examination with Humphrey perimetry, Fluorescein angiography, CT scan , MRI, visual evoked potentials (VEP), and electroretinography (ERG).
ResultsA monocular enlarged blind spot was found on automated perimetry. Fluorescein angiography, CT scan , MRI, VEP and ERG were all within normal range. Follow-up of the patient during a period of 3 months revealed improvement of the symptoms and a decrease in size of the enlarged blind spot.
ConclusionWhenever a patient presents with an enlarged blind spot, the ophthalmologist must do all necessary tests to reveal the cause of the abnormality. However, when all subjective and objective clinical data are negative (as in this case), a tentative diagnosis of AIBES must be considered
Author 1
Last nameAL-SABAI
InitialsN
DepartmentUZBrussel
CityBrussel
Author 2
Last nameSALU
InitialsP
DepartmentUZBrussel
CityBrussel
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