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61 year old woman with floaters in the left eye for 5 months and in the right eye for a few weeks. She has had extensive testing elsewhere and was provisionally diagnosed with possible lupus because of a positive ANA. She had no imaging done with FA or ICG. Vision 20/40 in both eyes. The ICG shows multifocal lesions consistent with Birdshot. An HLA A29 was ordered and was positive. Since she is a fresh case of Birdshot, she will start on therapy with hopes of inducing remission.

birdshot_joau_052316_01.png
Birdshot Chorioretinitis - Fresh Presentation418 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_02.png
Birdshot Chorioretinitis - Fresh Presentation385 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_04.png
Birdshot Chorioretinitis - Fresh Presentation368 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_05.png
Birdshot Chorioretinitis - Fresh Presentation374 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_06.png
Birdshot Chorioretinitis - Fresh Presentation353 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_07.jpg
Birdshot Chorioretinitis - Fresh Presentation356 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_09.jpg
Birdshot Chorioretinitis - Fresh Presentation353 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_11.jpg
Birdshot Chorioretinitis - Fresh Presentation363 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_12.jpg
Birdshot Chorioretinitis - Fresh Presentation403 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_13.jpg
Birdshot Chorioretinitis - Fresh Presentation363 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_14.jpg
Birdshot Chorioretinitis - Fresh Presentation421 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_15.jpg
Birdshot Chorioretinitis - Fresh Presentation364 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_16.jpg
Birdshot Chorioretinitis - Fresh Presentation387 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_17.jpg
Birdshot Chorioretinitis - Fresh Presentation358 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_18.jpg
Birdshot Chorioretinitis - Fresh Presentation391 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_19.jpg
Birdshot Chorioretinitis - Fresh Presentation396 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_21.jpg
Birdshot Chorioretinitis - Fresh Presentation396 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_24.jpg
Birdshot Chorioretinitis - Fresh Presentation454 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_25.jpg
Birdshot Chorioretinitis - Fresh Presentation388 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_27.jpg
Birdshot Chorioretinitis - Fresh Presentation379 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_28.jpg
Birdshot Chorioretinitis - Fresh Presentation376 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_29.jpg
Birdshot Chorioretinitis - Fresh Presentation399 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_30.jpg
Birdshot Chorioretinitis - Fresh Presentation373 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_31.jpg
Birdshot Chorioretinitis - Fresh Presentation451 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_32.jpg
Birdshot Chorioretinitis - Fresh Presentation402 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_34.jpg
Birdshot Chorioretinitis - Fresh Presentation401 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_37.jpg
Birdshot Chorioretinitis - Fresh Presentation399 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_40.jpg
Birdshot Chorioretinitis - Fresh Presentation356 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_41.jpg
Birdshot Chorioretinitis - Fresh Presentation347 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_42.jpg
Birdshot Chorioretinitis - Fresh Presentation398 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_43.jpg
Birdshot Chorioretinitis - Fresh Presentation347 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_44.jpg
Birdshot Chorioretinitis - Fresh Presentation358 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_48.jpg
Birdshot Chorioretinitis - Fresh Presentation419 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_49.jpg
Birdshot Chorioretinitis - Fresh Presentation357 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
birdshot_joau_052316_50.jpg
Birdshot Chorioretinitis - Fresh Presentation397 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive00000
(0 votes)
 
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61 year old woman with floaters in the left eye for 5 months and in the right eye for a few weeks. She has had extensive testing elsewhere and was provisionally diagnosed with possible lupus because of a positive ANA. She had no imaging done with FA or ICG. Vision 20/40 in both eyes. The ICG shows multifocal lesions consistent with Birdshot. An HLA A29 was ordered and was positive. Since she is a fresh case of Birdshot, she will start on therapy with hopes of inducing remission.