A 42-year-old woman presented to Lahey Hospital and Medical Center for 1 year of progressively worsening blurred vision in the left eye.
She also reported occasional stabbing pain in her left eye, especially when attempting to read or looking downward, as well as seeing translucent floaters in both eyes that were more noticeable in bright lights.
The patient had no medical history and did not take any medications. Social history was noncontributory. Ocular history included myopic LASIK surgery more than a decade before presentation.
On examination, the patient’s best corrected visual