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A 56-year-old man with a unilateral central scotoma
Digital Journal of Ophthalmology 2021
Volume 27, Number 3
September 27, 2021
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Khushali Shah, BA | University of Miami Miller School of Medicine, Miami, Florida; Bascom Palmer Eye Institute, Miami, Florida
Benjamin J. Fowler, MD, PhD | Bascom Palmer Eye Institute, Miami, Florida
Benjamin Lin, MD | Bascom Palmer Eye Institute, Miami, Florida
Kara M. Cavuoto, MD | Bascom Palmer Eye Institute
Jayanth Sridhar, MD | Bascom Palmer Eye Institute, Miami, Florida



History
A healthy 56-year-old man presented at the Bascom Palmer Eye Institute in Miami, Florida, with 3 days of small floaters and a central “purple spot” in his right eye. On review of social history, he acknowledged a sexual history that included sex with other men, most recently 4 months prior to presentation. A complete review of systems was otherwise negative, and he denied trauma or prior ophthalmic surgery.
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