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JAMA Ophthalmology Clinical Challenge
August 2017

Chorioretinal Lesions and Symptoms of Elevated Intracranial Pressure

Author Affiliations
  • 1Illinois Eye and Ear Infirmary, Department Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois
JAMA Ophthalmol. 2017;135(8):889-890. doi:10.1001/jamaophthalmol.2016.5829

A previously healthy Hispanic man in his 40s was transferred to the University of Illinois at Chicago emergency department with a 3-week history of intermittent facial tingling, pulsatile tinnitus, acute-onset worsening blurry vision, altered color perception, and paracentral scotomas in both eyes. His review of systems was otherwise negative for unusual findings, and he denied any pain, photophobia, or eye redness. His medical and ocular history included only pterygium surgery many years ago. His social history was significant for multiple male and female sexual partners.

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