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Initial Evaluation 3 months before photos: 29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. She has a benign past medical history. She has no neurological problems, no evidence of rashes, shortness of breath, joint pain, oral or general ulcers. She has had extensive evaluation with blood testing to rule out things like sarcoidosis. Negative tests: RPR, FTA-ABS, Lyme, HLA B27, CXR, Tuberculosis blood test, ACE, Lysozyme . She is bothered for the last month by peripheral strobe lights, which she sees mostly going from light to dark. They are in the periphery 360 degrees, sort of in the middle and that has been the most recent problem with her eyes. VISUAL ACUITY: OD 20/30, OS 20/20. IOP: OD 17. The right eye has acute fine keratic precipitates on the back of the cornea. The pupil is round and the lens is clear. The left eye has two Koeppe nodules at 9 o’clock in the iris margin. There is no inflammation of the eye though. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is posterior vitreous separation. There is no phlebitis with scleral depression and no retinal tears. OS: Vertical C/D ratio is 0.2 undilated. The macula and periphery look healthy. IMPRESSION: 1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE WITH PERIPHERAL PHOTOPSIAS 2. CHRONIC INTERMEDIATE UVEITIS – RIGHT EYE PROBABLY IDIOPATHIC 3. KOEPPE NODULES – LEFT EYE DISCUSSION: I explained to the patient that the right eye does have inflammation. It looks to be probably intermediate uveitis, which is generally benign and often the treatment is worse than the disease, because the steroids can cause cataracts. I asked her to taper off the Durezol, to start twice a day for a week, once a day for a week and stop. I asked her to return in three weeks. 3 months later - eyes quite - Iris Nodules OS have cleared and an Iris nodule is visible as in photos OD

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Uveitis - Iris Nodule - Koeppe Nodule556 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.00000
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Uveitis - Iris Nodule - Koeppe Nodule425 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.00000
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Uveitis - Iris Nodule - Koeppe Nodule778 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.00000
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Uveitis - Iris Nodule - Koeppe Nodule477 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.00000
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Initial Evaluation 3 months before photos: 29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. She has a benign past medical history. She has no neurological problems, no evidence of rashes, shortness of breath, joint pain, oral or general ulcers. She has had extensive evaluation with blood testing to rule out things like sarcoidosis. Negative tests: RPR, FTA-ABS, Lyme, HLA B27, CXR, Tuberculosis blood test, ACE, Lysozyme . She is bothered for the last month by peripheral strobe lights, which she sees mostly going from light to dark. They are in the periphery 360 degrees, sort of in the middle and that has been the most recent problem with her eyes. VISUAL ACUITY: OD 20/30, OS 20/20. IOP: OD 17. The right eye has acute fine keratic precipitates on the back of the cornea. The pupil is round and the lens is clear. The left eye has two Koeppe nodules at 9 o’clock in the iris margin. There is no inflammation of the eye though. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is posterior vitreous separation. There is no phlebitis with scleral depression and no retinal tears. OS: Vertical C/D ratio is 0.2 undilated. The macula and periphery look healthy. IMPRESSION: 1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE WITH PERIPHERAL PHOTOPSIAS 2. CHRONIC INTERMEDIATE UVEITIS – RIGHT EYE PROBABLY IDIOPATHIC 3. KOEPPE NODULES – LEFT EYE DISCUSSION: I explained to the patient that the right eye does have inflammation. It looks to be probably intermediate uveitis, which is generally benign and often the treatment is worse than the disease, because the steroids can cause cataracts. I asked her to taper off the Durezol, to start twice a day for a week, once a day for a week and stop. I asked her to return in three weeks. 3 months later - eyes quite - Iris Nodules OS have cleared and an Iris nodule is visible as in photos OD