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. Financial disclosure none. Case: PL. 43 y/o AAF referred for c/o decreased vision and pain behind the right eye. She had a previous episode 3 years ago with pain and vision loss in the left eye. Her vision did not recover in the left eye following the episode. She denies any other neurological symptoms, rash, fever, or headache.Medications: Synthroid, HCTZ, UnivascAllergies: NKDAFamily History: glaucoma - motherROS: Eye pain with right lateral gaze, sinus problems, otherwise negativePMH:9445

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