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Brown doughnut shape spot in my visual field

Brown doughnut shape spot in my visual field

I went to the optometrist because I could not find an eye MD in my area. Could you list possible causes? how serious is this? Thasnk you.
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find an Eye MD in your area at www.aao.org  

The serious things that might cause this include blockages of the arteries or veins in the back of the eye or inflammation of the optic nerve.

JCH III MD
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