THe vision in both eyes started getting spots about 3 weeks. HIV viral load 400 and T cell count of 49. He is on medicines for years. He is not sure why his viral load is high. •VA OD: sc20/50 PH20/32-2 NscJ16 •VA OS: sc20/40-1 PHNI NscJ16 There were multiple cotton wool spots and minimal microangiopathy