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JAMA Ophthalmology Clinical Challenge
December 2018

Rapid Vision Loss in a Young Woman

Author Affiliations
  • 1Department of Ophthalmology, University of California, San Francisco, San Francisco
JAMA Ophthalmol. 2018;136(12):1404-1405. doi:10.1001/jamaophthalmol.2018.1782

An otherwise healthy woman in her 30s presented to an outside health care professional with a 2-day history of floaters in her left eye. She denied additional ocular symptoms and reported no relevant medical, ocular, or family history; medication use; or allergies. The findings of a review of systems were unremarkable. A workup for posterior uveitis was initiated, and the patient began therapy with oral antiviral and oral corticosteroid medications. One week later, her symptoms had worsened, and she was referred for consultation.