A 24-year-old female patient attended our practice in September 2024. She had booked a routine eye examination, reporting that she felt her vision was a little worse. She has long-standing, very occasional photopsia, which is worse on waking and stable. She does not see floaters.

She had lost her spectacles, which were a few years old, although she had stopped wearing them.

RE: unaided vision 6/6, refraction: +0.25/-0.25 × 155 VA 6/6

LE: unaided vision 6/6, refraction: +0.25/-0.25 × 180 VA 6/6

Binocular near unaided vision: N4 @40cm

• General health: good. Non-atopic.
• Medication: contraceptive pill.
• Previous ocular history: first attended our practice in 2014 with no previous ocular history.
• Family medical history: none on maternal side. Paternal family history not known, as father adopted.