Periphery: No holes, tears, or subretinal fluid on 360 degree scleral depressed examination.Vitreous syneresis, but negative Shafer's sign/no "tobacco dust" (Figure 1). No relative afferent pupillary defect in either eye. Pupils: Equally reactive in each eye from 4 mm in the dark to 2 mm in the light. Intraocular Pressure (IOP), via Tonopen: 21 mm Hg OD, 20 mm Hg OS Left eye (OS): 20/20, no improvement with pinhole.Right eye (OD): 20/25, no improvement with pinhole.Visual Acuity (Snellen) at distance with correction: Myopia, recent manifest refraction = -3.75 OD, -2.75 OSįamily History: No known eye disease Ocular Exam.Glaucoma suspect based on mild optic nerve cupping.She had no other complaints at presentation. She had no known personal or family history of retinal tears or detachment, and she had no complaints in her right eye. She denied any recent head trauma or falls. She denied any "shades" or "curtains" in her peripheral vision. The flashes of light were also worse in a dimly lit environment. The floaters were described as "large and stringy", and the flashing lights occurred in the temporal periphery "like a camera flash going off repeatedly". New flashing lights and floating "spots." History of Present IllnessĪ 60 year-old female presented to the eye clinic with flashing lights and new floaters in the left eye for the past four days.
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