Serpiginous choroiditis right eye
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68 year old female - In the right eye, the vision is always blurry. There is a big spot off to the side that is always dark. She has a lot of floaters in both eyes some are dark and some are light. These started bothering her a few months ago. She does not usually get headaches and she has been getting headaches starting about 2 weeks ago that are medium severe and sometimes make her want to lie down.
Medical Hx: Multiple Sclerosis (2009). Hypertension, Systemic. Arthritis. Degeneration of Disc Disease.
Surgical Hx: oophorectomy (Left). Hysterectomy. Back Surgery. Cholecystectomy.
Systemic Meds: Amlodipine 5mg qday. Aspirin 81 mg qday. Carvedilol 12.5mg bid. Dicycolmine 20mg bid. Duloxetine 30mg bid. Gabapentin 400mg qid. Isosorbide 10mg bid. Losartan 100mg qday. Omeparazole 20mg qday. Teriflunomide 14mg qday. COQ10 300mg qday. Diclofenac 75mg bid. Tramadol 50mg tid. Melatonin 10mg qday. Vitamin D3 25MCG qday. Vitamin B12 1000mg qday. Spironolactone qday. Allergies: Penicillin. Keflex. Sulfa. Tetracycline. Betaserone.
VA 20/32 OU, IOP 17,18
AC – no cells
2+ NS OU
Right eye had mild vitreous cells
Patient admitted to hospital for possible cerebral vasculitis – exhaustively ruled out (MRI, LP)
Labs: CBC, CMP, Quant TB, ACE, Lysozyme, FTA-ABS normal
High dose steroids given in hospital then transitioned to oral steroids and then transitioned to Methotrexate
Next images are from 6 weeks after presentation
VA still 20/23 OU – No active uveitis
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Serpiginous choroiditis in the right eyevu 155 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 143 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 157 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 138 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 130 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 155 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 149 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 115 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 148 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 126 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 126 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 115 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 107 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 156 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 140 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 131 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 131 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 123 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 120 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 133 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 145 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 155 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 137 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 158 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 131 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 131 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 116 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 124 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 143 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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|
Serpiginous choroiditis in the right eyevu 131 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 144 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 128 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 147 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 129 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 209 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 196 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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Serpiginous choroiditis in the right eyevu 202 fois68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
(0 votes)
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68 year old female - In the right eye, the vision is always blurry. There is a big spot off to the side that is always dark. She has a lot of floaters in both eyes some are dark and some are light. These started bothering her a few months ago. She does not usually get headaches and she has been getting headaches starting about 2 weeks ago that are medium severe and sometimes make her want to lie down.
Medical Hx: Multiple Sclerosis (2009). Hypertension, Systemic. Arthritis. Degeneration of Disc Disease.
Surgical Hx: oophorectomy (Left). Hysterectomy. Back Surgery. Cholecystectomy.
Systemic Meds: Amlodipine 5mg qday. Aspirin 81 mg qday. Carvedilol 12.5mg bid. Dicycolmine 20mg bid. Duloxetine 30mg bid. Gabapentin 400mg qid. Isosorbide 10mg bid. Losartan 100mg qday. Omeparazole 20mg qday. Teriflunomide 14mg qday. COQ10 300mg qday. Diclofenac 75mg bid. Tramadol 50mg tid. Melatonin 10mg qday. Vitamin D3 25MCG qday. Vitamin B12 1000mg qday. Spironolactone qday. Allergies: Penicillin. Keflex. Sulfa. Tetracycline. Betaserone.
VA 20/32 OU, IOP 17,18
AC – no cells
2+ NS OU
Right eye had mild vitreous cells
Patient admitted to hospital for possible cerebral vasculitis – exhaustively ruled out (MRI, LP)
Labs: CBC, CMP, Quant TB, ACE, Lysozyme, FTA-ABS normal
High dose steroids given in hospital then transitioned to oral steroids and then transitioned to Methotrexate
Next images are from 6 weeks after presentation
VA still 20/23 OU – No active uveitis
