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A previously healthy 15-year-old girl was referred with a history of visual loss in the right eye for 1 month in the absence of other symptoms or traumatic events.
The symptoms started with the patient reporting to see a vertical dark line in front of her right eye. She had been initially evaluated in another hospital, with an automated static perimetry showing a peripheral shrinkage of the visual field with a starfish pattern (figure 1A) and a brain MRI revealing no pathological findings. The symptoms apparently resolved afterwards, but after 2 weeks re-presented as a blurred vision in the right eye.
On admission, physical examination was unremarkable, and blood pressure and heart rate were in range for her age. Ophthalmological evaluation showed visual acuity of 20/20 in both eyes, normal fundus oculi …
Contributors MM drafted the initial manuscript and approved the final manuscript as submitted. AS and FP contributed to achieving the clinical diagnosis of the case. AS, FP and EB critically reviewed the manuscript and approved the final manuscript as submitted. All authors approved the final manuscript as submitted and agreed to be accountable for all aspects of the work.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.