Publication Exclusive: Man presents with slow, progressive vision loss

A 61-year-old man visiting from the Ivory Coast presented to the New England Eye Center for slow, progressive vision loss in both eyes starting 2 to 3 years before presentation. His medical history was significant only for hypertension and gout. His family ocular history included his father, who was blind in one eye possibly due to a retinal detachment. He was evaluated by his local ophthalmologist on several occasions, but an etiology was never determined. Before his evaluation at the New England Eye Center, our patient was seen at another eye clinic in the United States and was told he may have a maculopathy.