A 28-year-old man presented to the New England Eye Center with a 1-week history of blurry vision, floaters and darkening of his inferior visual field in the right eye.
At the time of presentation, the patient denied ocular pain, redness, discharge, flashes, headaches or diplopia. Review of systems was notable for recurrent painful oral ulcers, a 2-year history of a nondescript rash over his lower legs in a relapsing/remitting pattern and a single episode of genital ulcers. His medical history was significant for celiac disease. The patient was born in Taiwan and moved to the United States when