A 30-year-old man presented to the New England Eye Center for decreased vision with a central black spot in his vision for 1 week. He denied flashes, floaters, pain and headache.
His ocular history was significant for high myopia without history of eye surgery or trauma. His medical history included mild asthma. He was a daily cigarette smoker and was sexually active with one female partner for the past 3 years. He had no history of intravenous drug use. He did not have any other symptoms, including skin changes or joint pain.
Visual acuity was finger counting at 2 feet in the right eye and