44 year old man One week ago the left eye was running non-stop and it burned and he had to pry the eye open. Then the vision started to decline three days ago. When he closes the right eye to look at something bright he cannot read. He had a chest infection started about 2-3 weeks ago. He saw a doctor on Monday 4 days ago. He was started on an antibiotic but has not started it yet. He did sore on the right side of his mouth with the infection and he did not have any rashes. He does not have exposure to little kids. VA 20/25 OD, 20/200 OS. Serous retinal detachment in the macula OS. Patient was hospitalized for mental status change. He had very high blood alcohol level. MRI was negative as was spinal tap checked for coxsackievirus virus and Syphillis. Blood titers were high for coxsackievirus virus but no acute infection was verified.