Woman presents with right eye redness, shadow in vision
Source: Helio, February 2023
A 59-year-old woman who presented to an outside eye care provider 1 year prior for right eye redness and a shadow in her vision was referred to the New England Eye Center when the redness did not respond to eye drops.
The patient’s medical history was notable for hypertension, hyperlipidemia, prediabetes, hypothyroidism and anxiety. She was taking atorvastatin, levothyroxine and spironolactone. She had an allergy to erythromycin. She was not on any ophthalmic medications and had no prior ophthalmic surgeries.
Best corrected visual acuity was 20/25-2 in both eyes. Pupils were equally round and reactive to light without relative afferent pupillary defect, and IOP was within normal limits. Anterior segment slit lamp exam of the right eye was unremarkable except for a dilated straight conjunctival vessel at 3 o’clock with surrounding corkscrew episcleral vessel (Figure 1). Dilated fundus exam revealed a nasal elevated bilobed mass that was mostly white with areas of pigmentation. There was no overlying orange pigment or drusen. Subretinal fluid was noted inferiorly (Figure 2).