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A female of 25 presents with sudden onset of pain and reduced visual acuity in the left eye. When she covers the right eye everything is in black and white. When a swinging light test is carried out the left pupil remains dilated when the light is shone directly into the eye and the right dilates as well. When the light is then shone in the right eye both pupils constrict (left relative afferent pupillary defect).

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