MB is a 26-year-old woman who had a history of a “spot” in her left eye since childhood. Her vision had always been good and she was seen by an optical chain store optometrist every few years to update her contact lens prescription. Dilated fundus examination had not been performed during the last several years. She noted the onset of a “film” over her left eye for several days. This progressed to the point where she could only make out vague shapes and forms. She had no complaints of pain or tenderness. Examination by an ophthalmologist found best-corrected vision OD of 20/20 and of hand motions at 1 meter in the left eye. There was a mild anterior chamber reaction with trace flare and cells and dense vitreous cells. Indirect ophthalmoscopy suggested the presence of a lesion just above the macula (“headlight in the fog”). Other fundus details were obscured by the vitreous opacities.
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