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A 19 year-old Caucasian female was referred with a 3-month history of unilateral, progressively worsening vision accompanied by flashes and floaters.
She denied any associated pain on eye movements, headaches or preceding flu-like symptoms. Her vision was documented 20/25 in both eyes, with a mild myopic astigmatism during a routine eye exam 6 months prior to the onset of symptoms. She had no significant medical history except three syncopal episodes over the prior 2 years. The patient, who was living in the northeast of the USA (Connecticut), denied any history of travel other than a trip to California one …