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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 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_18.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_19.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_20.jpg
Macular Serpiginous Chorioretinopathy119 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 Chorioretinopathy128 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 Chorioretinopathy137 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 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_26.jpg
Macular Serpiginous Chorioretinopathy138 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 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_joflu2_052022_25.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_joflu2_052022_28.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_joflu2_052022_29.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_joflu2_052022_24.jpg
Macular Serpiginous Chorioretinopathy162 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 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_joflu3_060322_33.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_joflu3_060322_34.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_joflu3_060322_30.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_joflu3_060322_35.jpg
Macular Serpiginous Chorioretinopathy166 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 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_joflu4_061222_36.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_joflu4_061222_37.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_03.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_01.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_04.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_02.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_05.jpg
Macular Serpiginous Chorioretinopathy143 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 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_07.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_08.jpg
Macular Serpiginous Chorioretinopathy147 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 Chorioretinopathy142 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 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_joflu1_042622_12.jpg
Macular Serpiginous Chorioretinopathy147 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 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_13.jpg
Macular Serpiginous Chorioretinopathy162 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 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_15.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_16.jpg
Macular Serpiginous Chorioretinopathy129 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.