Autosomal dominant optic atrophy findings in a 34-year-old man who had been aware of difficulty reading the blackboard in fourth grade, with a mild, gradual decrease in visual acuity bilaterally since then. A, B, Optic discs show temporal atrophy and papillomacular nerve fiber layer dropout. C, D, Visual field patterns demonstrate bilateral cecocentral scotomata, which extend superotemporally