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JAMA Ophthalmology Clinical Challenge |

Vision Loss and Paresthesias in a Young Man QUIZ

Tavé van Zyl, MD1; Thanos D. Papakostas, MD1; Lucia Sobrin, MD, MPH1
[+] Author Affiliations
1Retina and Uveitis Services, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston
JAMA Ophthalmol. 2015;133(10):1207-1208. doi:10.1001/jamaophthalmol.2015.1935.
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A young man presented with a 1-day history of vision loss in the left eye, eye redness for 1 week, a mild posterior headache, and tingling and numbness of the left thumb and index and middle fingers. What would you do next?

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Figure 1.

A, Subretinal and retinal pigment epithelial lesions (arrowheads) are visible in the left eye. B, Late staining of the macular lesion. The arrowheads outline the border of the area that was hypofluorescent in the early frames (not shown). The right eye showed similar findings.

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Figure 2.

Representative section of magnetic resonance imaging, which demonstrated foci of marked hyperintensity on diffusion-weighted imaging sequences and corresponding hypointensity on apparent diffusion coefficient sequences (inset), consistent with acute stroke.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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