Woman referred for pain, decreased vision in left eye

A 61-year-old Caucasian woman was referred for neuro-ophthalmology evaluation at Lahey Medical Center for decreased vision associated with pain in the left eye.The patient’s medical history was significant for type 2 diabetes, hypertension, hyperlipidemia, hypothyroidism and a pericardial cyst. She also had an elevated C-reactive protein (CRP) level discovered incidentally 20 years ago, for which work-up by an outside rheumatologist was unrevealing. She had an acute right-sided hearing loss 2 years ago; work-up through an outside otolaryngologist and imaging were also unrevealing. Her ocular history included a mild refractive error. (Read more...)

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