Abstract

A 50-year-old man presented with blurry vision and scotomas in his right eye immediately after a 2-week hiking trip in the Andes at an altitude of 19,600 ft (6000 m). During the 2 weeks, he was taking acetazolamide in an effort to prevent altitude sickness and reported having no symptoms during his hike. On examination, his visual acuity was 20/50 in the right eye and 20/20 in the left eye. He had no afferent pupillary defect and had normal color vision and brightness perception in both eyes. Ophthalmoscopy revealed foveal hemorrhages in the right eye (Panel A) and peripapillary intraretinal . . .

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