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Most viewed - Infectious Uveitis
syphilis1_mialc_04122022_27.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis312 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_01.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis311 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_22.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
syphilis_jorai_20211018_07.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
Toxoplasmosis_kedeg_2016_08.jpg
 Recurrent Toxoplasmosis - Extramacular307 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
Neuroretinitis_gwcal_081221_07.jpg
 Neuroretinitis left eye - recovered with no therapy - possible B pertussis307 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
syphilis_jorai_20211018_08.jpg
 Severe Syphilitic Placoid Chorioretinitis307 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
Toxoplasmosis_kedeg_2016_05.jpg
 Recurrent Toxoplasmosis - Extramacular306 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
toxo_alwri1_041522_01.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed306 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_21.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed306 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
Toxoplasmosis_kedeg_2016_06.jpg
 Recurrent Toxoplasmosis - Extramacular305 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
Left_eye.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_14.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
syphilis_jorai_20211018_42.jpg
 Severe Syphilitic Placoid Chorioretinitis304 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_17.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis303 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_11.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis302 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_19.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis302 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_04.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
syphilis1_mialc_04122022_25.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis300 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
toxo_alwri1_041522_03.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed300 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_02.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_09.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_06.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_12.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
syphilis1_mialc_04122022_06.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_03.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
syphilis_jorai_20211018_26.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_32.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
toxo_alwri1_041522_26.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed293 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
Neuroretinitis_gwcal_081221_04.jpg
 Neuroretinitis left eye - recovered with no therapy - possible B pertussis292 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
syphilis_jorai_20211018_38.jpg
 Severe Syphilitic Placoid Chorioretinitis292 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 neuritis292 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
syphilis_jorai_20211018_10.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
syphilis_jorai_20211018_24.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
syphilis1_mialc_04122022_15.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis291 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
toxo_alwri1_041522_06.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed291 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_20.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed291 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_03.jpg
 Severe Syphilitic Placoid Chorioretinitis289 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 Chorioretinitis289 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_22.jpg
 Syphilitic optic neuritis288 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
syphilis1_mialc_04122022_02.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis287 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_21.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis287 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-on2_caarc_042123_31.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
Toxoplasmosis_kedeg_08062020_03.jpg
 Recurrent Toxoplasmosis - Extramacular286 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
syphilis_jorai_20211018_33.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
syphilis1_mialc_04122022_26.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis286 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_40.jpg
 Severe Syphilitic Placoid Chorioretinitis285 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_05.jpg
 Severe Syphilitic Placoid Chorioretinitis284 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 Chorioretinitis284 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_03.jpg
 Syphilitic optic neuritis284 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
syphilis_jorai_20211018_34.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
syph-on1_caarc_040423_11.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
syph-on1_caarc_040423_13.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
syphilis_jorai_20211018_23.jpg
 Severe Syphilitic Placoid Chorioretinitis280 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_29.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis280 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_31.jpg
 Severe Syphilitic Placoid Chorioretinitis279 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_24.jpg
 Syphilitic optic neuritis279 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
Right_eye.jpg
 Severe Syphilitic Placoid Chorioretinitis278 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
toxo_alwri1_041522_24.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed278 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_04.jpg
 Syphilitic optic neuritis277 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
syphilis_jorai_20211018_01.jpg
 Severe Syphilitic Placoid Chorioretinitis276 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_36.jpg
 Severe Syphilitic Placoid Chorioretinitis276 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_10.jpg
 Syphilitic optic neuritis274 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
syphilis_jorai_20211018_27.jpg
 Severe Syphilitic Placoid Chorioretinitis273 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_29.jpg
 Severe Syphilitic Placoid Chorioretinitis272 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 Chorioretinitis272 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
toxo_alwri1_041522_02.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed272 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_05.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed272 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
syphilis1_mialc_04122022_20.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis271 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
toxo_alwri1_041522_18.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed271 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 confirmed271 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-on2_caarc_042123_30.jpg
 Syphilitic optic neuritis271 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
toxo_alwri1_041522_23.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed269 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_05.jpg
 Syphilitic optic neuritis269 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_21.jpg
 Syphilitic optic neuritis269 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
syphilis_jorai_20211018_41.jpg
 Severe Syphilitic Placoid Chorioretinitis268 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_16.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis268 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
toxo_alwri1_041522_04.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed268 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_28.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed267 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_22.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed265 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_25.jpg
 Severe Syphilitic Placoid Chorioretinitis264 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_15.jpg
 Syphilitic optic neuritis262 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
syphilis_jorai_20211018_39.jpg
 Severe Syphilitic Placoid Chorioretinitis261 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
toxo_alwri1_041522_15.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed261 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_09.jpg
 Syphilitic optic neuritis261 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
syphilis_jorai_20211018_37.jpg
 Severe Syphilitic Placoid Chorioretinitis259 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
toxo_alwri1_041522_19.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed259 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-on2_caarc_042123_29.jpg
 Syphilitic optic neuritis259 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
toxo_alwri1_041522_25.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed258 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_26.jpg
 Syphilitic optic neuritis257 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
toxo_alwri1_041522_30.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed256 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_12.jpg
 Syphilitic optic neuritis256 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
toxo_alwri1_041522_17.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed254 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_01.jpg
 Syphilitic optic neuritis254 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_17.jpg
 Syphilitic optic neuritis252 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
syphilis_jorai_20211018_28.jpg
 Severe Syphilitic Placoid Chorioretinitis251 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
toxo_alwri1_041522_16.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed250 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_18.jpg
 Syphilitic optic neuritis250 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_25.jpg
 Syphilitic optic neuritis249 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_32.JPG
 Syphilitic optic neuritis249 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
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