Disc case studies - Part 2

In the second of these practice-based studies, Kirit Patel considers how life rarely follows the descriptions of textbooks

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In practice what we observe and expect to see does not always match up to reality. Using the example of an optic disc coloboma syndrome, I will discuss a visual field defect measured which was not as we would have expected it to be.

CASE HISTORY
A 68-year-old patient came in for a routine eye examination. His previous history included annual examination by an eye specialist for a congenital condition and was discharged 10 years ago. He took an anti-cholesterol medication.