Case: A 9-year-old white boy was referred to the neuro-ophthalmology service of UMDNJ in late 1995, after having experienced decreased visual acuity OU over a period of a few months. The referring physician’s records indicated that the patient’s past visual acuity had been 20/20. Six months before the present examination, visual acuity was 20/30.

Occasional headaches, otherwise unremarkable
   • Mild headaches for 2 years, none for 1 month
   • Occurrence: largely at school
   • Bright dots occasionally observed with the incidence of headaches
   • Occasional nausea, but no vomiting