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JAMA Ophthalmology Clinical Challenge
June 2015

Serous Retinal Detachment Following Enucleation

Author Affiliations
  • 1Wilmer Eye Institute, the Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Ophthalmol. 2015;133(6):713-714. doi:10.1001/jamaophthalmol.2015.0721

A white man in his 30s with a remote history of right eye enucleation following globe trauma presented to our clinic in July 2014 with decreased visual acuity in the left eye. He described a history of initially intermittent (lasting hours to days) then constant (for the past 6-8 weeks) central and peripheral blurred vision in the left eye. He reported no headaches, numbness, weakness, eye pain, hearing loss, or other neurologic issues. Eight years earlier, he had sustained a fireworks injury to his right eye followed by globe repair and enucleation within 3 days. He had no other significant medical or ocular history.

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