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JAMA Ophthalmology Clinical Challenge
June 6, 2019

Sudden-Onset Painless Blurry Vision

Author Affiliations
  • 1Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, California
  • 2Department of Ophthalmology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California
  • 3Medical student, Stanford University School of Medicine, Palo Alto, California
JAMA Ophthalmol. 2019;137(8):947-948. doi:10.1001/jamaophthalmol.2019.1431

A man in his late 30s with a history of proliferative diabetic retinopathy presented for evaluation of sudden-onset painless blurry vision of the right eye. His ocular history included nonclearing vitreous hemorrhage in the right eye requiring pars plana vitrectomy, panretinal photocoagulation, multiple treatments with intravitreous bevacizumab, and cataract extraction with placement of an intraocular lens (IOL) into the capsular bag approximately 4 years ago. At his routine follow-up visit 2 weeks prior, the proliferative diabetic retinopathy was quiescent, and his Snellen visual acuity was 20/20 OD with manifest refraction of −1.50 + 0.25 × 180. Examination of the anterior segment at that time was unremarkable.