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JAMA Ophthalmology Clinical Challenge
May 2016

Flashes, Floaters, and an Unfamiliar Fundus

Author Affiliations
  • 1Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio
  • 2Department of Ophthalmology, MetroHealth Medical Center, Cleveland, Ohio
JAMA Ophthalmol. 2016;134(5):595-596. doi:10.1001/jamaophthalmol.2015.3655

An African American woman in her early to mid-60s presented to the ophthalmology clinic with complaints of flashes and occasional floaters in her left eye for the past 2 weeks. She had been seen 7 months prior to presentation for a comprehensive eye evaluation. She was found to have a bilateral posterior vitreous detachment, and the results of her retinal examination at that time were normal.

Her best-corrected vision was 20/20 OU, and the intraocular pressure in each eye was normal. An anterior segment examination of the left eye revealed trace keratic precipitates on the inferior cornea and 1+ cell. A posterior segment examination revealed 1+ vitreous cell. A photograph from a fundus examination is shown in Figure 1. The right eye was normal.

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