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JAMA Ophthalmology Clinical Challenge
June 2018

A Young Patient With Floaters

Author Affiliations
  • 1Department of Ophthalmology, University of Florida College of Medicine, Gainesville
JAMA Ophthalmol. 2018;136(6):712-713. doi:10.1001/jamaophthalmol.2017.5485

A 26-year-old man presented to the emergency department with blurry vision and new floaters in his right eye. He stated his symptoms had been progressively worsening in the past week, during which he performed yard work uneventfully except for a foreign-body sensation and tearing while using a weed trimmer. He denied any significant medical or ocular history. On ophthalmoscopic examination, his visual acuity was 20/40−2 OD and 20/20−2 OS. His anterior segment examination findings were remarkable for 1+ diffuse conjunctival injection and 1+ anterior chamber cell in the affected eye. Posterior segment evaluation revealed a midvitreous opacity (Figure, A) and a 1-disc-diameter intraretinal white lesion in the posterior pole (Figure, B). Thorough examination of the peripheral retina with scleral depression did not reveal any peripheral pathologic findings. High-resolution computed tomography (CT) of the orbits was also unrevealing.