A 39-year-old woman was referred to the New England Eye Center complaining of new-onset intermittent “muddy” spots in her vision. She had no associated vision loss, flashes, floaters or eye pain.
The patient’s ocular history included dry eye syndrome and a right lower eyelid papilloma. Her medical history was notable for polycystic ovarian syndrome treated with metformin. She had no known allergies, and social history was noncontributory.
On initial exam, best corrected visual acuity was 20/20 in both eyes. IOPs were 12 mm Hg in the right eye and 14 mm Hg in the left eye.