A 53-year-old woman presented to an outside provider with 1 day of bilateral floaters and “smoke/foggy” vision.
She had a medical history of Graves’ disease on daily levothyroxine and breast cancer treated with chemotherapy, radiation and mastectomy. She had an ocular history of thyroid eye disease and refractive error.
A thorough review of systems was negative, including no history of trauma, tattoo swelling, travel outside of the United States, insect bites and use of blood thinners.
Ocular vitals and anterior segment exam were within normal limits. Posterior segment exam was