Case of the month

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Figure 1

 

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Figure 2

Case of the Month - January 2020

  • A 76-year-old Caucasian female presents to the Jones Eye Institute as a new patient noting a “floater” in the central vision of her left eye that occurred upon waking five days ago and has been stable since onset. Her last eye exam was 5 years prior. Her medical history is limited to hypercholesterolemia and otherwise unremarkable. Snellen visual acuity uncorrected is 20/40, PH 20/25 in the right eye and CF @ 4 feet, PHNI in the left eye. Pupils are equal with no RAPD, EOMs full, and CVF full in the right eye with a large central defect in the left eye. IOP is 18 mmHg right eye and 23 mmHg left eye. Anterior segment exam is unremarkable. Posterior segment exam right eye reveals an old well-pigmented operculated hole superior temporal and left eye reveals the findings above. Fluorescein angiography is also completed.
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