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JAMA Ophthalmology Clinical Challenge
October 2015

Vision Loss and Paresthesias in a Young Man

Author Affiliations
  • 1Retina and Uveitis Services, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston
JAMA Ophthalmol. 2015;133(10):1207-1208. doi:10.1001/jamaophthalmol.2015.1935

A young man presented to the emergency department with a 1-day history of vision loss in the left eye. He had experienced eye redness for 1 week, which resolved with use of artificial tears; a mild posterior headache; and paresthesias of the left thumb and index and middle fingers.

His medical history was significant for epilepsy as a child, although he had been seizure free for more than 10 years without medication. He had no ocular history, was not taking any medications, and had no known drug allergies. He smoked 2 to 4 packs of cigarettes per day, consumed 1 to 3 alcoholic drinks per day, and denied illicit drug use. He denied recent travel, vaccinations, systemic illnesses, or influenza-like symptoms.

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