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Most viewed - Posterior Uveitis - Chorioretinitis

syphilis_jorai_20211018_09.jpg
Severe Syphilitic Placoid Chorioretinitis309 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_14.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis309 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
bdump_dastr_20211004_01.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)308 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
bdump_dastr_20211004_07.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)308 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
granuloma_sarcoid_USF-BR_06.jpg
Granulomatous Uveitis - Probable Sarcoid308 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_02.jpg
Severe Syphilitic Placoid Chorioretinitis308 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_11.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis307 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
syphilis1_mialc_04122022_25.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis307 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
bird_makuh_052722_04.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29306 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
syphilis_jorai_20211018_06.jpg
Severe Syphilitic Placoid Chorioretinitis305 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_12.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis305 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
bdump_dastr_20211004_16.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)304 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
bdump_dastr_20211111_37_28229.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)303 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
granuloma_sarcoid_USF-BR_05.jpg
Granulomatous Uveitis - Probable Sarcoid303 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
toxo_alwri1_041522_06.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed303 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
bdump_dastr_20211004_22.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)302 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
granuloma_sarcoid_USF-BR_11.jpg
Granulomatous Uveitis - Probable Sarcoid302 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syph-on1_caarc_040423_22.jpg
Syphilitic optic neuritis302 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
syph-on2_caarc_042123_31.jpg
Syphilitic optic neuritis302 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_31.jpg
Granulomatous Uveitis - Probable Sarcoid301 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_26.jpg
Severe Syphilitic Placoid Chorioretinitis301 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_06.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis301 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
granuloma_sarcoid_USF-BR_16.jpg
Granulomatous Uveitis - Probable Sarcoid300 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_24.jpg
Severe Syphilitic Placoid Chorioretinitis300 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syph-on1_caarc_040423_02.jpg
Syphilitic optic neuritis300 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Neuroretinitis_gwcal_081221_04.jpg
Neuroretinitis left eye - recovered with no therapy - possible B pertussis299 views57 year old female The patient has had blurred vision in the left eye and there is a haze across the top of the vision.  This started about 2 weeks ago.  The right eye is OK.  She has sleep apnea and uses the machine.  The left eye is becoming more and more painful for the last two weeks.  The pain is like a stabbing in the eye that comes and goes.  She also has some pain on eye movement.  The patient has been going to Moffit for possible reconstructive surgery for the lymphedema.
PMHx – Sleep apnea, Breast Cancer, Adult lymphedema,
Meds: Gabapentin 
VA OD: Dcc20/25-1
VA OS: Dcc20/100-2
AC quiet OU. 1 + NS cataract OU
IOP: TP: OD:15 OS:17
bdump_dastr_20211004_23.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)299 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
granuloma_sarcoid_USF-BR_27.jpg
Granulomatous Uveitis - Probable Sarcoid299 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_03.jpg
Severe Syphilitic Placoid Chorioretinitis299 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis_jorai_20211018_32.jpg
Severe Syphilitic Placoid Chorioretinitis299 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_03.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis299 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
syphilis1_mialc_04122022_15.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis299 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
bird_makuh_052722_09_28129.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29299 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
toxo_alwri1_041522_20.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed298 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
toxo_alwri1_041522_26.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed298 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
syphilis_jorai_20211018_10.jpg
Severe Syphilitic Placoid Chorioretinitis297 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_21.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis297 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
syph-on1_caarc_040423_24.jpg
Syphilitic optic neuritis297 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_02.jpg
Granulomatous Uveitis - Probable Sarcoid295 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
granuloma_sarcoid_USF-BR_12.jpg
Granulomatous Uveitis - Probable Sarcoid295 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
granuloma_sarcoid_USF-BR_33.jpg
Granulomatous Uveitis - Probable Sarcoid295 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_40.jpg
Severe Syphilitic Placoid Chorioretinitis295 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis1_mialc_04122022_08.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis295 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
syphilis1_mialc_04122022_02.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis294 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
syphilis1_mialc_04122022_26.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis294 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
Toxoplasmosis_kedeg_08062020_03.jpg
Recurrent Toxoplasmosis - Extramacular293 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
syphilis_jorai_20211018_05.jpg
Severe Syphilitic Placoid Chorioretinitis293 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis_jorai_20211018_33.jpg
Severe Syphilitic Placoid Chorioretinitis293 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
macserp_joflu3_060322_32.jpg
Macular Serpiginous Chorioretinopathy292 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.
syphilis_jorai_20211018_34.jpg
Severe Syphilitic Placoid Chorioretinitis291 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
bird_makuh_052722_13.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29291 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
macserp_joflu1_042622_17.jpg
Macular Serpiginous Chorioretinopathy291 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.
granuloma_sarcoid_USF-BR_14.jpg
Granulomatous Uveitis - Probable Sarcoid290 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
granuloma_sarcoid_USF-BR_18.jpg
Granulomatous Uveitis - Probable Sarcoid290 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_31.jpg
Severe Syphilitic Placoid Chorioretinitis290 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis_jorai_20211018_35.jpg
Severe Syphilitic Placoid Chorioretinitis290 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
bird_makuh_052722_32.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29290 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
syph-on1_caarc_040423_03.jpg
Syphilitic optic neuritis290 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
syph-on1_caarc_040423_11.jpg
Syphilitic optic neuritis290 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_28.jpg
Granulomatous Uveitis - Probable Sarcoid289 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
bird_makuh_052722_38.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29289 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
syph-on1_caarc_040423_04.jpg
Syphilitic optic neuritis289 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_15.jpg
Granulomatous Uveitis - Probable Sarcoid288 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis1_mialc_04122022_29.jpg
Acute Syphilitic Posterior Placoid Chorioretinitis288 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.  He thought it might be from fatigue.  The month of March was very stressful.  After a few days the spot in the left eye got darker and he could not drive at night.  During the last week while not going to work and sleeping more his vision is better but not normal.  He has never had vision loss in the past.  
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
syphilis_jorai_20211018_36.jpg
Severe Syphilitic Placoid Chorioretinitis287 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
macserp_joflu2_052022_24.jpg
Macular Serpiginous Chorioretinopathy287 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.
syph-on1_caarc_040423_13.jpg
Syphilitic optic neuritis287 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_29.jpg
Granulomatous Uveitis - Probable Sarcoid286 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_23.jpg
Severe Syphilitic Placoid Chorioretinitis286 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
Right_eye.jpg
Severe Syphilitic Placoid Chorioretinitis286 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
bird_makuh_052722_01.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29286 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
bird_makuh_052722_12.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29286 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
toxo_alwri1_041522_18.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed286 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
macserp_joflu2_052022_28.jpg
Macular Serpiginous Chorioretinopathy285 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.
syph-on2_caarc_042123_30.jpg
Syphilitic optic neuritis285 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
bdump_dastr_20211004_14.jpg
Bilateral Diffuse Melanocytic Proliferation (BDUMP)284 views67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
bird_makuh_052722_37.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29284 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
toxo_alwri1_041522_24.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed284 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
granuloma_sarcoid_USF-BR_07.jpg
Granulomatous Uveitis - Probable Sarcoid283 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
granuloma_sarcoid_USF-BR_30.jpg
Granulomatous Uveitis - Probable Sarcoid283 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_29.jpg
Severe Syphilitic Placoid Chorioretinitis283 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
macserp_joflu1_042622_07.jpg
Macular Serpiginous Chorioretinopathy283 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.
granuloma_sarcoid_USF-BR_03.jpg
Granulomatous Uveitis - Probable Sarcoid282 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_27.jpg
Severe Syphilitic Placoid Chorioretinitis282 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
bird_makuh_052722_20.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29282 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
toxo_alwri1_041522_05.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed282 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
toxo_alwri1_041522_29.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed282 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
syph-on1_caarc_040423_10.jpg
Syphilitic optic neuritis282 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_09.jpg
Granulomatous Uveitis - Probable Sarcoid281 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
syphilis_jorai_20211018_01.jpg
Severe Syphilitic Placoid Chorioretinitis281 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis_jorai_20211018_30.jpg
Severe Syphilitic Placoid Chorioretinitis281 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syphilis_jorai_20211018_39.jpg
Severe Syphilitic Placoid Chorioretinitis281 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
syph-on1_caarc_040423_05.jpg
Syphilitic optic neuritis281 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
granuloma_sarcoid_USF-BR_26.jpg
Granulomatous Uveitis - Probable Sarcoid280 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
granuloma_sarcoid_USF-BR_24.jpg
Granulomatous Uveitis - Probable Sarcoid279 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
bird_makuh_052722_03.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29279 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
toxo_alwri1_041522_28.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed279 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
granuloma_sarcoid_USF-BR_19.jpg
Granulomatous Uveitis - Probable Sarcoid278 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
bird_makuh_052722_09.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29278 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
bird_makuh_052722_22.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29278 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
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