SH is a 52-year-old woman with a history of shooting pains around her left eye for several years. She stated that the episodes lasted 10 to 20 seconds and occurred several times a day. She felt they were increasing over the past few months and was quite concerned about them especially because she “had a sister who went blind from something wrong with the nerves to her eyes”. She had been to several doctors regarding this complaint over the past year and had undergone CT scanning with no diagnosis being offered. She had been given various eye drops to try, including artificial tears, various anti-inflammatory agents, and antibiotic drops with no reduction of her symptoms. Examination was unremarkable with 20/20 uncorrected vision and normal slit-lamp and fundus examination.
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