A 27-year-old woman of Hispanic descent presented to an outside ophthalmologist with sudden-onset bilateral decreased vision, photophobia and severe, boring retrobulbar pain worse with eye movement. She had no medical or ocular history but did note 3 months of menorrhagia. She took no medications, had no known allergies, and denied any use of illicit drugs or other substances. Her family history was positive for cardiovascular disease and diabetes.
On examination, the patient’s vision was 20/200 bilaterally, correctable to 20/25 with –6.75 D and –7.5 D of myopic correction in
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