For students - patient presents with this field defect, and | Figure 1

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For students - patient presents with this field defect, and a right afferent pupillary defect. Where is the lesion?

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41YO AA F with superior VF defect. BCVA 20/70. Longstanding. What is your diagnosis?

Optic disc coloboma found as an incidental finding at the slit lamp examination of a patient with cataract : This defect is caused by an eye's embryonic fissure incomplete closure, often associated to cromosomi abnormalities, CHARGE syndrome, Glodenhar syndrome and central nervous system abnormalities. Some varieties appear to be cause by a PAX6 mutation. Work-up: -Check VA, may be decreased -Check for ocular associations (microphthalmos,microcornea, iris coloboma) -Investigate systemic associations -Perimetry may show a superior defect -Rare complications include: serous retinal detachment, neuroretinal rim thing and choroidal neovascularization. (Credits to Kansky's Clinical ophthalmology 8th ed)

Young male. 20/40 visual acuity in this eye. Other eye normal. No syndromic features. What do you all think?

Pigmentary dispersion syndrome in a 35ish yo CM. Transillumination defects TIDs visible on iris from 7:00 to 5:00 (most of clock). Sorry for pic quality, working without camera adapter. Light in the pupil will show orange areas where pigment was lost in iris. Puts pt at increased risk for glaucoma. IOP was 14 OU.

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