Woman presents with unilateral blurry vision

A 61-year-old woman was referred to the New England Eye Center’s comprehensive ophthalmology service with decreased vision in the left eye.
She first noticed changes in her vision approximately 1 week prior. This was accompanied by a slight ache around the left orbit that had not progressed since onset. She denied flashes, floaters, light sensitivity and diplopia.
Her medical history was significant for scleroderma requiring intravenous immunoglobulin, monoclonal gammopathy of undetermined significance, hyperparathyroidism and small cell lung cancer treated with right upper lobectomy 4

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