Young woman presents with unilateral eye discomfort

A 24-year-old African American woman with a medical history of right-sided Bell’s palsy, hidradenitis suppurativa and borderline hypertension was referred to the neuro-ophthalmology clinic at Tufts Medical Center with 3 weeks of right eye discomfort. She initially had a pressure-like discomfort in the right eye that then developed into a dull pain with eye movement. The pain improved somewhat with acetaminophen. She also noticed a blurred spot in the vision of her right eye. Her medications included chlorhexidine skin cleanser, oral contraceptives and artificial tears. She had no known

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