A white man in his 50s initially presented in the fall of 2015 with “macular changes” noticed by his referring optometrist. The patient was asymptomatic at the time. He had a history of hypertension and non-Hodgkin lymphoma, which was last treated in 2012 without evidence of recurrence. His visual acuity was 20/25 OU, and neither fundus was seen to be abnormal. The vitreous was clear in both eyes. Optical coherence tomography (OCT) revealed vitreomacular adhesion in the right eye and a macular posterior vitreous detachment in the left. The patient was told to follow-up as needed.
Chinskey ND, Blinder KJ. Rapid Loss of Vision With the Onset of a White Ring Surrounding the Optic Nerve. JAMA Ophthalmol. Published online February 23, 2017. doi:10.1001/jamaophthalmol.2016.4476