An Eye for an Eye; A Tooth for a Tooth

A 24-year-old man experienced the sudden onset of a painless superior-temporal visual field defect of the left eye. Fundoscopy showed peripapillary pigmentary changes and a few nasal retinal white spots. Automated perimetry demonstrated an enlarged blind spot. The differential diagnosis of the various presumed inflammatory retinopathies and choroidopathies associated with an enlarged blind spot are reviewed and the classification of the white spot syndromes of the retina discussed.