Alison J. Lauter, MD

An 83-year-old man presented to the New England Eye Center with a 2-week history of decreased vision in both eyes. He felt like letters were “clumping together,” making it difficult to read. He also complained that the inferior half of his vision in the right eye was foggy. He denied any new headaches, jaw claudication, transient visual obscurations, scalp tenderness, recent weight loss or fatigue. He was experiencing new gait instability and poor coordination.

A 71-year-old man was referred by his usual ophthalmologist to the neuro-ophthalmology clinic at Tufts Medical Center for bilateral decreased vision associated with bilateral optic disc edema.

A 78-year-old woman with a medical history of hypertension, hyperlipidemia, diet-controlled type 2 diabetes, gout, osteopenia and herpes zoster presented with a 4-day history of new-onset constant binocular double vision.

A 28-year-old woman presented to the Lahey Eye Clinic reporting a 1-week history of constant binocular, horizontal diplopia. In addition to the diplopia, she described pain with extraocular movements and an associated frontal headache. She denied any blurred vision.

A 24-year-old woman presented to New England Eye Center upon referral from her outside ophthalmologist complaining of several years of light sensitivity, burning pain and blurred vision in both eyes.

A 43-year-old Caucasian man with a medical history of hypertension was transferred to Lahey Hospital and Medical Center from an outside hospital with a 2-week history of bilateral red eye, fevers, cough, myalgias and pain with swallowing.