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Last additions - Birdshot Chorioretinitis Ultra Wide Field ICG angiogram - early case

61 year old woman with floaters in the left eye for 5 months and in the right eye for a few weeks. She has had extensive testing elsewhere and was provisionally diagnosed with possible lupus because of a positive ANA. She had no imaging done with FA or ICG. Vision 20/40 in both eyes. The ICG shows multifocal lesions consistent with Birdshot. An HLA A29 was ordered and was positive. Since she is a fresh case of Birdshot, she will start on therapy with hopes of inducing remission.

birdshot_joau_052316_50.jpg
Birdshot Chorioretinitis - Fresh Presentation495 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_49.jpg
Birdshot Chorioretinitis - Fresh Presentation439 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_48.jpg
Birdshot Chorioretinitis - Fresh Presentation513 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_44.jpg
Birdshot Chorioretinitis - Fresh Presentation444 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_43.jpg
Birdshot Chorioretinitis - Fresh Presentation430 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_42.jpg
Birdshot Chorioretinitis - Fresh Presentation485 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_41.jpg
Birdshot Chorioretinitis - Fresh Presentation449 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_40.jpg
Birdshot Chorioretinitis - Fresh Presentation451 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_37.jpg
Birdshot Chorioretinitis - Fresh Presentation484 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_34.jpg
Birdshot Chorioretinitis - Fresh Presentation491 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_32.jpg
Birdshot Chorioretinitis - Fresh Presentation487 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_31.jpg
Birdshot Chorioretinitis - Fresh Presentation547 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_30.jpg
Birdshot Chorioretinitis - Fresh Presentation480 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_29.jpg
Birdshot Chorioretinitis - Fresh Presentation479 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_28.jpg
Birdshot Chorioretinitis - Fresh Presentation489 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_27.jpg
Birdshot Chorioretinitis - Fresh Presentation474 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_25.jpg
Birdshot Chorioretinitis - Fresh Presentation482 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_24.jpg
Birdshot Chorioretinitis - Fresh Presentation573 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_21.jpg
Birdshot Chorioretinitis - Fresh Presentation484 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_19.jpg
Birdshot Chorioretinitis - Fresh Presentation491 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_18.jpg
Birdshot Chorioretinitis - Fresh Presentation513 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_17.jpg
Birdshot Chorioretinitis - Fresh Presentation446 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_16.jpg
Birdshot Chorioretinitis - Fresh Presentation479 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_15.jpg
Birdshot Chorioretinitis - Fresh Presentation478 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_14.jpg
Birdshot Chorioretinitis - Fresh Presentation532 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_13.jpg
Birdshot Chorioretinitis - Fresh Presentation480 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_12.jpg
Birdshot Chorioretinitis - Fresh Presentation503 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_11.jpg
Birdshot Chorioretinitis - Fresh Presentation475 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_09.jpg
Birdshot Chorioretinitis - Fresh Presentation429 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_07.jpg
Birdshot Chorioretinitis - Fresh Presentation451 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_06.png
Birdshot Chorioretinitis - Fresh Presentation433 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_05.png
Birdshot Chorioretinitis - Fresh Presentation482 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_04.png
Birdshot Chorioretinitis - Fresh Presentation439 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_02.png
Birdshot Chorioretinitis - Fresh Presentation484 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
birdshot_joau_052316_01.png
Birdshot Chorioretinitis - Fresh Presentation521 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 PositiveJul 07, 2016
 
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61 year old woman with floaters in the left eye for 5 months and in the right eye for a few weeks. She has had extensive testing elsewhere and was provisionally diagnosed with possible lupus because of a positive ANA. She had no imaging done with FA or ICG. Vision 20/40 in both eyes. The ICG shows multifocal lesions consistent with Birdshot. An HLA A29 was ordered and was positive. Since she is a fresh case of Birdshot, she will start on therapy with hopes of inducing remission.