A 29-year-old white male presents with a small, blurred spot in the center of his vision in the right eye, present for the past 2 weeks. Prior to onset of symptoms, he had recently recovered from a flu-like illness. He is otherwise healthy and reports no significant past ocular or medical history. The patient reports significant stress at work and admits to having a “type-A personality”.
Uncorrected visual acuity is 20/20 in each eye. Pupils and intraocular pressures are normal. Anterior segment slit-lamp examination is unremarkable but fundus exam of the right eye shows a comma-shaped, yellowish macular lesion with associated foveolar pigment irregularity.
Case contributed by: Jessica Kovarik, MD, Michael Hopen, MD, Daniel Neely, MD