A 67-year-old female with visual impairment secondary to macular degeneration complains of seeing frightening images for 3 days. She states that she sees a translucent elongated face with disproportionately large teeth and ears (Figure 1). There are no associated mental status changes, auditory hallucinations, headaches, fever or seizures. Clinical examination is normal aside from decreased visual acuity, bilateral drusen and geographic atrophy of the right retina.
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