Birdshot Chorioretinitis - Atypical - HLA-B29 Positive - Macroaneurysm
|
|
55-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. You saw a problem with the macula in the right eye and suggested she come in here for evaluation. She is diabetic and her blood pressures have recently been running a little high.
VISUAL ACUITY: OD 20/40, OS 20/20. IOP: OD 11, OS 14. The posterior chamber intraocular lens is in good position in both eyes. The left eye has 1+ posterior capsular opacity.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.8. There is a retinal arterial macroaneurysm just temporal to the optic nerve with a ring of exudate around it, just stopping short of the fovea. There is patchy chorioretinal scarring.
OS: Vertical C/D ratio is 0.4. There is patchy chorioretinal scarring.
OCT SCAN: The right eye does show macular edema nasal to the fovea. The left eye shows patchy atrophy.
Photos confirm clinical findings.
IMPRESSION:
1. Retinal Arterial MACROANEURYSM WITH MACULAR EDEMA – RIGHT EYE
2. HLA A-29 POSITIVE BIRDSHOT RETINAL CHORIODITIS
DISCUSSION: I explained to the patient there is a leaky blood vessel in the right eye which is threatening the fovea, but not at this moment at all in the fovea. I suggested we leave the eye alone. I did, however, ask her to return for a check in three months, sooner should she notice any problem. She will see you periodically. Thank you for allowing me to participate in her care.
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 65255-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 71955-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20..
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 58555-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 67055-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 71555-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 62855-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 82455-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 70555-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(1 hinnangut)
|
|
Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positivevaatamisi: 61355-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
(0 hinnangut)
|
|
|
|
|
|
|
55-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. You saw a problem with the macula in the right eye and suggested she come in here for evaluation. She is diabetic and her blood pressures have recently been running a little high.
VISUAL ACUITY: OD 20/40, OS 20/20. IOP: OD 11, OS 14. The posterior chamber intraocular lens is in good position in both eyes. The left eye has 1+ posterior capsular opacity.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.8. There is a retinal arterial macroaneurysm just temporal to the optic nerve with a ring of exudate around it, just stopping short of the fovea. There is patchy chorioretinal scarring.
OS: Vertical C/D ratio is 0.4. There is patchy chorioretinal scarring.
OCT SCAN: The right eye does show macular edema nasal to the fovea. The left eye shows patchy atrophy.
Photos confirm clinical findings.
IMPRESSION:
1. Retinal Arterial MACROANEURYSM WITH MACULAR EDEMA – RIGHT EYE
2. HLA A-29 POSITIVE BIRDSHOT RETINAL CHORIODITIS
DISCUSSION: I explained to the patient there is a leaky blood vessel in the right eye which is threatening the fovea, but not at this moment at all in the fovea. I suggested we leave the eye alone. I did, however, ask her to return for a check in three months, sooner should she notice any problem. She will see you periodically. Thank you for allowing me to participate in her care.
