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Derniers ajouts - Birdshot Chorioretinitis Ultra Wide Field ICG angiogram - early case

61 year old woman with floaters in the left eye for 5 months and in the right eye for a few weeks. She has had extensive testing elsewhere and was provisionally diagnosed with possible lupus because of a positive ANA. She had no imaging done with FA or ICG. Vision 20/40 in both eyes. The ICG shows multifocal lesions consistent with Birdshot. An HLA A29 was ordered and was positive. Since she is a fresh case of Birdshot, she will start on therapy with hopes of inducing remission.

birdshot_joau_052316_50.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 483 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_49.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 429 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_48.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 496 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_44.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 431 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_43.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 417 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_42.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 468 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_41.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 433 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_40.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 434 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_37.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 465 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_34.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 481 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_32.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 473 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_31.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 534 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_30.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 466 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_29.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 461 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_28.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 472 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_27.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 459 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_25.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 470 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_24.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 540 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_21.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 463 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_19.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 468 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_18.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 486 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_17.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 424 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_16.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 453 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_15.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 456 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_14.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 509 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_13.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 463 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_12.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 490 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_11.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 459 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_09.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 413 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_07.jpg
Birdshot Chorioretinitis - Fresh Presentationvu 441 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_06.png
Birdshot Chorioretinitis - Fresh Presentationvu 421 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_05.png
Birdshot Chorioretinitis - Fresh Presentationvu 467 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_04.png
Birdshot Chorioretinitis - Fresh Presentationvu 431 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_02.png
Birdshot Chorioretinitis - Fresh Presentationvu 463 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
birdshot_joau_052316_01.png
Birdshot Chorioretinitis - Fresh Presentationvu 497 foisUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive07 Juillet 2016
 
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61 year old woman with floaters in the left eye for 5 months and in the right eye for a few weeks. She has had extensive testing elsewhere and was provisionally diagnosed with possible lupus because of a positive ANA. She had no imaging done with FA or ICG. Vision 20/40 in both eyes. The ICG shows multifocal lesions consistent with Birdshot. An HLA A29 was ordered and was positive. Since she is a fresh case of Birdshot, she will start on therapy with hopes of inducing remission.