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A 16-year-old white girl was referred to the retina clinic by her pediatric ophthalmologist for evaluation of a worsening unilateral central scotoma with colorful edges in the setting of new subretinal fluid seen on OCT.
She denied eye pain, worsening photophobia, flashes or floaters. She also denied recent illness or systemic symptoms including fevers, rashes, mouth sores, hair loss, abdominal pain, nausea, vomiting, diarrhea, chest pain, shortness of breath or joint swelling. Ocular history was significant for high myopia and chronic mild photophobia. Medical history was significant for