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A 24-year-old woman (gravida 3, para 2) who was 30 weeks' pregnant with twins was admitted for preterm labor. Six days earlier, she had vomited and noticed an acute onset of a large central scotoma in the right eye. The scotoma had begun as gray spots in the central field of vision and expanded during the subsequent two days to include red and yellow streaks. Her prenatal examinations were all normal. She had no history of sickle cell disease or trait, diabetes, or coagulopathy. Her visual acuity was 20/200 in the right eye and 20/25 in the left eye. The . . . [Full Text of this Article] |