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Br J Ophthalmol 84:158-164 doi:10.1136/bjo.84.2.158
  • Original Article
    • Clinical science

Coffee and doughnut maculopathy: a cause of acute central ring scotomas

Table 1

Clinical features of patients with acute central ring scotomas

Case Age Sex Presentation VA RE/LE CV RE
CV LE 		Pupils Amsler RE Amsler LE VF RE
VF LE
(type of perimetry) 		Fundus RE
Fundus LE 		FA ERG MRI/CT Onset to most recent exam
1 57 M acute, bilateral 20/20 no control ISH normal ring scotoma central defect normal normal abnormal normal MRI 3 months
20/25 no control ISH ring scotoma central defect normal
HVF 10-2
2 35 F acute, bilateral 20/15 10/10 HRR normal ring scotoma ring scotoma temporal pallor normal normal normal MRI 7 months
20/15 10/10 HRR ring scotoma ring scotoma temporal pallor
tangent screen
3 35 F acute, left eye only 20/20 13.5/14 ISH 0.3 log unit left rapd normal normal normal abnormal normal normal CT 49 months
20/20 8/14 ISH ring scotoma central defect temporal pallor
HVF 10-2
4 53 M acute, sequential,
(2 years apart) 		20/20 2.5/10 HRR normal ring scotoma ring scotoma temporal pallor normal 4 months
20/20 0/10 HRR ring scotoma ring scotoma temporal pallor
tangent screen
GVF
5 25 F acute, bilateral 20/20 0/14 ISH normal central defect reddish petaloid normal normal CT 20 months
20/20 0/14 ISH central defect macular lesions,
HVF 10-2 reddish petaloid
macular lesions,

  • VA = visual acuity; CV = colour vision; ISH = Ishihara; HRR = Hardy-Rand-Ritter; VF = visual field; HVF = Humphrey visual field; GVF = Goldmann visual field; FA = fluorescein angiogram; ERG = electroretinogram; MRI = magnetic resonance imaging; CT = computed tomography.

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