Woman presents for blurry vision in left eye

A 44-year-old woman presented to the comprehensive ophthalmology clinic for trouble reading and difficulty watching TV for the past month, worse in the left eye. She reportedly had a normal eye exam 5 months prior.
She had a medical history of migraine with aura, upper GI bleed and small fiber neuropathy. She had a surgical history of septoplasty with nasal turbinate reduction and cesarean section. She was allergic to gabapentin. She was a former smoker and drank wine occasionally. She was born in Bosnia. She had no significant family history.
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