Retina Gallery ~ Full Sized Retina Images

Serpiginous Choroiditis - Acute and Old 63-year-old woman has serpiginous choroiditis (date - March 2011). She has only had disease in the left eye. She had a steroid implant with your group in August of 2006. I injected the eye with Kenalog in January of 2007 and then she had another Kenalog injection in June of 2007. The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. She is on Cosopt and Combigan in the left eye because of her steroid responsive glaucoma. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50. IOP: OD 13, OS 11. The right eye has 2+ nuclear sclerosis. There are 2+ anterior vitreous cells. The left eye has a posterior chamber intraocular lens in good position. The eye is quiet. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There are 2+ vitreous cells. There is a new area of chorioretinitis inferonasal to the optic nerve, which is white and extends about 2-3 disc diameters off the nerve. OS: Vertical C/D ratio is 0.8. There is extensive chorioretinal scarring but there is no active inflammation. IMPRESSION: 1. ACTIVE SERPIGINOUS CHOROIDITIS – RIGHT AND GOOD EYE 2. PREVIOUS MACULAR SCARRING FROM SERPIGINOUS CHOROIDITIS – LEFT EYE 3. STEROID RESPONSIVE GLAUCOMA 4. CATARACT – RIGHT EYE DISCUSSION: I explained to the patient the right eye has active chorioretinitis from the serpiginous choroiditis and I suggested intravitreal Kenalog in that eye which has worked for her before. I injected the eye with Kenalog (4 mg/0.05 ml) was administered to the eye today without complication. I asked her to return in a week so I can see how the eye is doing. I asked her to start the Combigan drops in the right eye twice a day in anticipation of steroid responsive glaucoma. For management, I recommended every three month intravitreal Kenalog injections in the right eye for the next year and then to back off to every six months for the foreseeable future. It probably would not hurt to add Kenalog to the left eye as well.
Serpiginous Choroiditis186 views (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS895 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS691 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS824 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS787 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (1 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS964 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS770 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS950 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS735 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS842 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS821 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS813 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS660 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS545 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS566 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS539 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS575 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS567 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS568 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS708 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (1 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS526 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS475 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS498 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS546 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (1 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS565 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS539 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50 (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD738 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (1 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD554 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (0 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD550 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD711 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD679 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (0 votes)	Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD690 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (0 votes)
Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS - 1 Week After Intravitreal Kenalog OD624 views63-year-old woman has serpiginous choroiditis 1 week after intravitreal kenalog treatment (0 votes)
33 files on 1 page(s)

63-year-old woman has serpiginous choroiditis (date - March 2011). She has only had disease in the left eye. She had a steroid implant with your group in August of 2006. I injected the eye with Kenalog in January of 2007 and then she had another Kenalog injection in June of 2007. The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that. She is on Cosopt and Combigan in the left eye because of her steroid responsive glaucoma. VISUAL ACUITY: Vision OD is 20/25, OS is 20/50. IOP: OD 13, OS 11. The right eye has 2+ nuclear sclerosis. There are 2+ anterior vitreous cells. The left eye has a posterior chamber intraocular lens in good position. The eye is quiet. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There are 2+ vitreous cells. There is a new area of chorioretinitis inferonasal to the optic nerve, which is white and extends about 2-3 disc diameters off the nerve. OS: Vertical C/D ratio is 0.8. There is extensive chorioretinal scarring but there is no active inflammation. IMPRESSION: 1. ACTIVE SERPIGINOUS CHOROIDITIS – RIGHT AND GOOD EYE 2. PREVIOUS MACULAR SCARRING FROM SERPIGINOUS CHOROIDITIS – LEFT EYE 3. STEROID RESPONSIVE GLAUCOMA 4. CATARACT – RIGHT EYE DISCUSSION: I explained to the patient the right eye has active chorioretinitis from the serpiginous choroiditis and I suggested intravitreal Kenalog in that eye which has worked for her before. I injected the eye with Kenalog (4 mg/0.05 ml) was administered to the eye today without complication. I asked her to return in a week so I can see how the eye is doing. I asked her to start the Combigan drops in the right eye twice a day in anticipation of steroid responsive glaucoma. For management, I recommended every three month intravitreal Kenalog injections in the right eye for the next year and then to back off to every six months for the foreseeable future. It probably would not hurt to add Kenalog to the left eye as well.