A 17-year-old male with a past medical history of major depressive disorder, anxiety, and obsessive-compulsive disorder presented to a pediatric emergency department with two days of a frontal headache and nonradiating, aching left sided chest pain. He was accompanied by his mother. The patient had received a third dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior…
Read More…3 days of floaters and “lightning bolt” white flashes in the temporal field of her right eye in the absence of eye trauma. She also reported right periorbital pain. She did not have blurry vision, diplopia, loss of vision, scalp tenderness, jaw claudication, fevers, chills, or weight loss. She denied photophobia despite wearing sunglasses in the Emergency Department. Her mother had died from choroidal melanoma, but the patient had not seen an ophthalmologist in 15 years.
Her uncorrected visual acuities were 20/60 OD and 20/40 OS. Intraocular pressure, pupillary reaction, and extraocular movements were normal. Point of care ultrasound (POCUS) revealed three hyperechoic, solid lesions with posterior acoustic shadowing in her right eye….
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