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Last additions - Macular Serpiginous Chorioretinopathy

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_16.jpg
Macular Serpiginous Chorioretinopathy118 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.Feb 24, 2023
macserp_joflu1_042622_15.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.Feb 24, 2023
macserp_joflu1_042622_14.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.Feb 24, 2023
macserp_joflu1_042622_13.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.Feb 24, 2023
macserp_joflu1_042622_10.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.Feb 24, 2023
macserp_joflu1_042622_12.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.Feb 24, 2023
macserp_joflu1_042622_11.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.Feb 24, 2023
macserp_joflu1_042622_09.jpg
Macular Serpiginous Chorioretinopathy131 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.Feb 24, 2023
macserp_joflu1_042622_08.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.Feb 24, 2023
macserp_joflu1_042622_07.jpg
Macular Serpiginous Chorioretinopathy134 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.Feb 24, 2023
macserp_joflu1_042622_06.jpg
Macular Serpiginous Chorioretinopathy140 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.Feb 24, 2023
macserp_joflu1_042622_05.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.Feb 24, 2023
macserp_joflu1_042622_02.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.Feb 24, 2023
macserp_joflu1_042622_04.jpg
Macular Serpiginous Chorioretinopathy134 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.Feb 24, 2023
macserp_joflu1_042622_01.jpg
Macular Serpiginous Chorioretinopathy121 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.Feb 24, 2023
macserp_joflu1_042622_03.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.Feb 24, 2023
macserp_joflu4_061222_37.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.Feb 24, 2023
macserp_joflu4_061222_36.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.Feb 24, 2023
macserp_joflu3_060322_31.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.Feb 24, 2023
macserp_joflu3_060322_35.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.Feb 24, 2023
macserp_joflu3_060322_30.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.Feb 24, 2023
macserp_joflu3_060322_34.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.Feb 24, 2023
macserp_joflu3_060322_33.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.Feb 24, 2023
macserp_joflu3_060322_32.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.Feb 24, 2023
macserp_joflu2_052022_24.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.Feb 24, 2023
macserp_joflu2_052022_29.jpg
Macular Serpiginous Chorioretinopathy134 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.Feb 24, 2023
macserp_joflu2_052022_28.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.Feb 24, 2023
macserp_joflu2_052022_25.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.Feb 24, 2023
macserp_joflu2_052022_27.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.Feb 24, 2023
macserp_joflu2_052022_26.jpg
Macular Serpiginous Chorioretinopathy127 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.Feb 24, 2023
macserp_joflu1_042622_23.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.Feb 24, 2023
macserp_joflu1_042622_22.jpg
Macular Serpiginous Chorioretinopathy126 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.Feb 24, 2023
macserp_joflu1_042622_21.jpg
Macular Serpiginous Chorioretinopathy116 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.Feb 24, 2023
macserp_joflu1_042622_20.jpg
Macular Serpiginous Chorioretinopathy108 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.Feb 24, 2023
macserp_joflu1_042622_19.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.Feb 24, 2023
macserp_joflu1_042622_18.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.Feb 24, 2023
macserp_joflu1_042622_17.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.Feb 24, 2023
     
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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.