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.
Baartman BJ, Lowder C, Adamopoulou C. Flashes, Floaters, and an Unfamiliar Fundus. JAMA Ophthalmol. 2016;134(5):595-596. doi:10.1001/jamaophthalmol.2015.3655