IMAGE OF THE MONTH: Q4 2025
A spotty puzzle
A 77-year-old female with history of cataracts, HTN, HLD, DM2, and aortic stenosis presents for new spots in the left eye. She denies flashes of light, photophobia and new floaters. Visual acuity is 20/40 OU (uncorrected) and anterior segment exam demonstrates trace nuclear sclerosis OU without vitreous cell in either eye. What is the diagnosis? What other diagnoses should be considered? How would you manage this patient?
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