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Published 23 January 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.08.2008.0647]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Novel diagnostic procedure

An unusual presentation of optic neuritis and the Pulfrich phenomenon

Maeve O’Doherty1, Ian Flitcroft2

1 Mater Misecordial Hospital, Eccles St, Dublin, Ireland
2 Mater Hospital, Ophthalmology Department, Eccles St, Dublin, Nil, Ireland

Correspondence to:
maeveodoherty{at}eircom.net

SUMMARY

The Pulfrich effect (named after Carl Pulfrich) is a well described visual stereoillusion observed when a swinging pendulum bob is viewed through a neutral density filter in front of one eye. The Pulfrich effect can be demonstrated spontaneously (ie, without a neutral density filter) in patients with multiple sclerosis because of the delayed optic nerve conduction seen after unilateral optic neuritis in multiple sclerosis. Here, a Pulfrich effect is described in a man with subclinical multiple sclerosis who only became symptomatic when playing squash.


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