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75 year old female The patient was doing well until about 4 weeks ago. She had an appointment to come in and she thought maybe it was a post-cataract vision blur. Since it started it has stayed about the same. She reads scripture every morning and was having trouble focusing. She saw the new dark spot and was seen urgently. She has no fevers or health problem. She denies any hair loss, rashes. No weird travel. Medical Hx: breast cancer. Influenza Immunization Not Received. Pneumococcal Vaccine Received. Surgical Hx: Mastectomy. lymphoid removed left armpit. ear surgery. Tonsillectomy. toe surgery. Systemic Meds: Vitamin D3 qday. venlafaxine 150 MG (as venlafaxine hydrochloride 113 MG) Oral Tablet qday. VITAMIN C qday. Calcium qday. VA OD: DccCF 1ft VA OS: Dcc20/32-1 IOP: TP: OD:15 OS:16 The vision further deteriorated in the final images to 1/200 in both eyes. The patient was treated with subtenon kenalog and has had no recurrences or spreading. She was tested for syphilis three times and TB both of which were negative.

macserp_joflu1_042622_17.jpg
Macular Serpiginous Chorioretinopathy158 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_18.jpg
Macular Serpiginous Chorioretinopathy156 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_19.jpg
Macular Serpiginous Chorioretinopathy152 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_20.jpg
Macular Serpiginous Chorioretinopathy123 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_21.jpg
Macular Serpiginous Chorioretinopathy132 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_22.jpg
Macular Serpiginous Chorioretinopathy139 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_23.jpg
Macular Serpiginous Chorioretinopathy151 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu2_052022_26.jpg
Macular Serpiginous Chorioretinopathy141 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu2_052022_27.jpg
Macular Serpiginous Chorioretinopathy167 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu2_052022_25.jpg
Macular Serpiginous Chorioretinopathy164 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu2_052022_28.jpg
Macular Serpiginous Chorioretinopathy155 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu2_052022_29.jpg
Macular Serpiginous Chorioretinopathy149 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu2_052022_24.jpg
Macular Serpiginous Chorioretinopathy165 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu3_060322_32.jpg
Macular Serpiginous Chorioretinopathy161 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu3_060322_33.jpg
Macular Serpiginous Chorioretinopathy163 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu3_060322_34.jpg
Macular Serpiginous Chorioretinopathy155 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu3_060322_30.jpg
Macular Serpiginous Chorioretinopathy156 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu3_060322_35.jpg
Macular Serpiginous Chorioretinopathy168 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu3_060322_31.jpg
Macular Serpiginous Chorioretinopathy159 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu4_061222_36.jpg
Macular Serpiginous Chorioretinopathy156 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu4_061222_37.jpg
Macular Serpiginous Chorioretinopathy155 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_03.jpg
Macular Serpiginous Chorioretinopathy149 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_01.jpg
Macular Serpiginous Chorioretinopathy136 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_04.jpg
Macular Serpiginous Chorioretinopathy150 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_02.jpg
Macular Serpiginous Chorioretinopathy144 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_05.jpg
Macular Serpiginous Chorioretinopathy146 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_06.jpg
Macular Serpiginous Chorioretinopathy155 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_07.jpg
Macular Serpiginous Chorioretinopathy150 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_08.jpg
Macular Serpiginous Chorioretinopathy151 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_09.jpg
Macular Serpiginous Chorioretinopathy145 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_11.jpg
Macular Serpiginous Chorioretinopathy145 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_12.jpg
Macular Serpiginous Chorioretinopathy151 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_10.jpg
Macular Serpiginous Chorioretinopathy148 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_13.jpg
Macular Serpiginous Chorioretinopathy167 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_14.jpg
Macular Serpiginous Chorioretinopathy153 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_15.jpg
Macular Serpiginous Chorioretinopathy160 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
macserp_joflu1_042622_16.jpg
Macular Serpiginous Chorioretinopathy133 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.00000
(0 votes)
     
37 files on 1 page(s)

75 year old female The patient was doing well until about 4 weeks ago. She had an appointment to come in and she thought maybe it was a post-cataract vision blur. Since it started it has stayed about the same. She reads scripture every morning and was having trouble focusing. She saw the new dark spot and was seen urgently. She has no fevers or health problem. She denies any hair loss, rashes. No weird travel. Medical Hx: breast cancer. Influenza Immunization Not Received. Pneumococcal Vaccine Received. Surgical Hx: Mastectomy. lymphoid removed left armpit. ear surgery. Tonsillectomy. toe surgery. Systemic Meds: Vitamin D3 qday. venlafaxine 150 MG (as venlafaxine hydrochloride 113 MG) Oral Tablet qday. VITAMIN C qday. Calcium qday. VA OD: DccCF 1ft VA OS: Dcc20/32-1 IOP: TP: OD:15 OS:16 The vision further deteriorated in the final images to 1/200 in both eyes. The patient was treated with subtenon kenalog and has had no recurrences or spreading. She was tested for syphilis three times and TB both of which were negative.