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JAMA Ophthalmology Clinical Challenge
June 2017

A Young Woman With Headaches and Blurry Vision

Author Affiliations
  • 1Massachusetts Eye and Ear Infirmary, Boston
  • 2Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
JAMA Ophthalmol. 2017;135(6):663-664. doi:10.1001/jamaophthalmol.2016.4895

A woman in her 20s was referred to the Massachusetts Eye and Ear Infirmary Neuro-Ophthalmology Service with a 2-month complaint of frequent headaches and 1 week of blurry vision in her left eye. Her ocular history was significant only for refractive error. Her medical history revealed systemic hypertension, depression, and obesity. Her current medications included hydrochlorothiazide and fluoxetine. On review of systems, she endorsed nausea as well as paresthesia in her hands.

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