31 year old man with vision loss in the right eye more than the left eye. He has an anaplastic astrocytoma diagnosed 10/2017 the first one was 10/2014. These are different locations. They are treating them with Chemotherapy and Avastin. It might be that one might have spread from the other. He was clean for 3 years. He is on Avastin and Temozolomide but his blood counts have been good. December 2017 he had a herpes superficial infection in the right eye which responded to treatment. The last neurosurgery was October 2017. Going to Duke June 5 and seeing a neuroophthalmologist there. VA OD: Dcc20/40 PH20/25 NccJ5 VA OS: Dcc20/16 PH20/10 NccJ1+ His fundus is presumably nocardia, pneumocystis, aspergillis or cryptococcus. His LP was negative and he was tried on a course of antifungals. He was then lost to followup