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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 Presentation222 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 Presentation172 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 Presentation188 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 Presentation183 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 Presentation177 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 Presentation173 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 Presentation196 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 Presentation174 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 Presentation209 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 Presentation189 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 Presentation220 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 Presentation173 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 Presentation206 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 Presentation173 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 Presentation196 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 Presentation213 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 Presentation222 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 Presentation245 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 Presentation205 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 Presentation206 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 Presentation205 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 Presentation216 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 Presentation172 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 Presentation261 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 Presentation231 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 Presentation229 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 Presentation222 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 Presentation176 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 Presentation176 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 Presentation217 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 Presentation171 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 Presentation187 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 Presentation219 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 Presentation182 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 Presentation193 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.