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JAMA Ophthalmology Clinical Challenge
August 2014

Shimmering Lights

Author Affiliations
  • 1Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor
  • 2Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, Missouri
  • 3Department of Pathology, University of Michigan Medical School, Ann Arbor
JAMA Ophthalmol. 2014;132(8):1015-1016. doi:10.1001/jamaophthalmol.2014.1444

A healthy 37-year-old man complains of “shimmering lights” and blurry vision in his right eye. He denies any other ocular discomfort. His best-corrected visual acuity is 20/30 OD and 20/20 OS. His pupil, intraocular pressure, motility, and confrontational visual field are normal in each eye. The results of an external examination and a slitlamp examination of the anterior segment of both eyes are unremarkable. A dilated fundus examination reveals clear vitreous in each eye and small yellow-white retinal lesions in the right eye. The patient denies any history of recent illnesses (Figure 1).

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