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Most viewed - Infectious Uveitis
syphilis1_mialc_04122022_10.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis337 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
Neuroretinitis_gwcal_081221_17.JPG
 Neuroretinitis left eye - recovered with no therapy - possible B pertussis336 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
syphilis1_mialc_04122022_27.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis336 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_28.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis336 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_2016_06.jpg
 Recurrent Toxoplasmosis - Extramacular335 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
syphilis1_mialc_04122022_13.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis334 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
Neuroretinitis_gwcal_081221_01.jpg
 Neuroretinitis left eye - recovered with no therapy - possible B pertussis333 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 Chorioretinitis333 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_01.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis332 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 Chorioretinitis331 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 confirmed331 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_05.jpg
 Recurrent Toxoplasmosis - Extramacular330 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
syphilis_jorai_20211018_07.jpg
 Severe Syphilitic Placoid Chorioretinitis329 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_21.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed328 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_04.jpg
 Severe Syphilitic Placoid Chorioretinitis327 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
Neuroretinitis_gwcal_081221_07.jpg
 Neuroretinitis left eye - recovered with no therapy - possible B pertussis326 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
toxo_alwri1_041522_01.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed326 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_17.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis325 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 Chorioretinitis325 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_02.jpg
 Severe Syphilitic Placoid Chorioretinitis323 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 Chorioretinitis323 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_38.jpg
 Severe Syphilitic Placoid Chorioretinitis323 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 Chorioretinitis323 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 Chorioretinitis322 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_06.jpg
 Severe Syphilitic Placoid Chorioretinitis319 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_42.jpg
 Severe Syphilitic Placoid Chorioretinitis319 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 Chorioretinitis319 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 confirmed317 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_12.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis316 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 Chorioretinitis315 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 Chorioretinitis314 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 neuritis314 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_06.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis313 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 Chorioretinitis313 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_02.jpg
 Syphilitic optic neuritis313 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_24.jpg
 Syphilitic optic neuritis313 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_20.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed312 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 Chorioretinitis311 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-on2_caarc_042123_31.jpg
 Syphilitic optic neuritis311 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_24.jpg
 Severe Syphilitic Placoid Chorioretinitis310 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 Chorioretinitis310 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_08062020_03.jpg
 Recurrent Toxoplasmosis - Extramacular309 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
Neuroretinitis_gwcal_081221_04.jpg
 Neuroretinitis left eye - recovered with no therapy - possible B pertussis309 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_03.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_21.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis308 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 Chorioretinitis308 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_11.jpg
 Syphilitic optic neuritis308 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_05.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
syphilis1_mialc_04122022_08.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
toxo_alwri1_041522_26.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed307 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_34.jpg
 Severe Syphilitic Placoid Chorioretinitis306 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_40.jpg
 Severe Syphilitic Placoid Chorioretinitis306 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_04.jpg
 Syphilitic optic neuritis306 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_33.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
syphilis_jorai_20211018_35.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
syphilis_jorai_20211018_31.jpg
 Severe Syphilitic Placoid Chorioretinitis302 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_02.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
syph-on1_caarc_040423_03.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-on1_caarc_040423_13.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
syphilis_jorai_20211018_36.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
Right_eye.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
toxo_alwri1_041522_18.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed299 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 neuritis299 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_29.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis298 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_10.jpg
 Syphilitic optic neuritis298 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 Chorioretinitis296 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 Chorioretinitis296 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 neuritis296 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 Chorioretinitis294 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_27.jpg
 Severe Syphilitic Placoid Chorioretinitis294 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 Chorioretinitis294 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 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_24.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed292 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 confirmed292 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 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
syphilis1_mialc_04122022_20.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis290 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 confirmed290 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_23.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed289 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_21.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
toxo_alwri1_041522_02.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed288 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 confirmed288 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 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
syph-on1_caarc_040423_15.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
syph-on1_caarc_040423_26.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
syphilis_jorai_20211018_37.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
syphilis_jorai_20211018_41.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
syph-on1_caarc_040423_09.jpg
 Syphilitic optic neuritis286 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_22.jpg
 Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed285 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_16.jpg
 Acute Syphilitic Posterior Placoid Chorioretinitis284 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_01.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
toxo_alwri1_041522_15.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_19.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
syphilis_jorai_20211018_28.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
syph-on1_caarc_040423_12.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
syph-on1_caarc_040423_18.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
syph-on2_caarc_042123_29.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
toxo_alwri1_041522_30.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_17.jpg
 Syphilitic optic neuritis275 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 confirmed273 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_32.JPG
 Syphilitic optic neuritis273 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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