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Poor colour vision in a young adult with a family history

Colour fundusintermediate

A 24-year-old with lifelong poor colour vision and slowly declining acuity in both eyes; a parent has the same problem.

Optic atrophy: Pale optic discs in both eyes

Arrows in the source figure mark the discs.

Diagnosis

Optic atrophy

  • Pale optic discs in both eyes
  • Flat discs with sharp margins
  • Reduced small vessels on the disc surface
  • Otherwise normal retina and vessels