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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption398 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Cytomeglovirus397 views25 year old male experiencing blurry vision OS for two days. Onset very rapid. VA 20/40 OS 20/30 OD. After HIV titer test, determined the pt. had HIV and Cytomeglovirus.

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus397 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis396 views

396 views

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets396 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive396 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus396 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

395 views

Neuroretinitis and Multifocal Retinitis395 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets395 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Neuroretinitis Positive IgM Bartonella henselae395 views33 year old with vision loss. Her vision improved and she was treated with ciprofloxacen

Uveitis - Retinitis - Vasculitis - possibly Syphilitis394 viewsVisit 1: 12-06-12
74-year-old man 12-3-12 visit. 2 months ago noticed vision loss, first in the right eye than the left. He is getting tired easily. He canâ€™t walk for a long distance. He has lost five pounds within the last month. He also had a severe itchy episode, but not quite a rash a few days ago, which went away after he took a shower. FTA-ABS is positive but a spinal tap, which was negative. OD 1/200, OS 20/63.

Neuroretinitis and Multifocal Retinitis394 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Exogenous Fungal Endophthalmitis394 views69 year old female with endophthalmitis 2 months after ECCE. Treated with vitrectomy and 3 injections of amphotericin B. Vision improved from 5/200 - 20/50

Neuroretinitis Positive IgM Bartonella henselae394 views33 year old with vision loss. Her vision improved and she was treated with ciprofloxacen

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption394 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Neuroretinitis and Multifocal Retinitis393 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus393 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Chronic Endophthalmitis and Cystoid Macular Edema393 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets392 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Congenital Toxoplasmosis Right Eye - Macular Scar392 views6 year old child who immigrated from Brazil and failed school screening . VA OD 20/200

Chronic Endophthalmitis and Cystoid Macular Edema392 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Recurrent Toxoplasmosis Right eye then Left eye 8 years later392 views33 year old brazilian man. Initially presented with uveitis in the right eye in 2011. Then in the left eye in 2019. Since has had two more episodes.

West Nile Virus Multifocal Choroiditis and diabetic retinopathy391 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus

Neuroretinitis and Multifocal Retinitis391 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets391 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus391 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Primary Toxoplasmosis390 views76 year old man with blurred vision left eye. He improved to 20/25 in 2 months with valtrex. No steroids were given

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption390 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Toxoplasmosis - Reactivation 19 year old Brazilian Native389 views20/20 vision with recurrent floaters. No treatment was offered because of peripheral location of the active lesion.

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus389 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Primary Toxoplasmosis388 views76 year old man with blurred vision left eye. He improved to 20/25 in 2 months with valtrex. No steroids were given

Toxoplasmosis Macular Scar - Inactive388 views49 year old man Toxoplasmosis was diagnosed in his 20s. No past eye surgeries OU. He had floaters a few weeks ago with dots and a long line in the vision. Since then they have gone away.
VA OD: Dcc20/20 NccJ1+
VA OS: Dcc20/16 NccJ1+

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus387 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Chronic Endophthalmitis and Cystoid Macular Edema387 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets386 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Neuroretinitis Positive IgM Bartonella henselae386 views33 year old with vision loss. Her vision improved and she was treated with ciprofloxacen

Chronic Endophthalmitis and Cystoid Macular Edema386 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive385 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16

Neuroretinitis and Multifocal Retinitis384 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets384 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive384 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus384 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

383 views

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets383 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption383 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Acute Syphilitic Posterior Placoid Chorioretinitis383 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.Â He thought it might be from fatigue.Â The month of March was very stressful.Â After a few days the spot in the left eye got darker and he could not drive at night.Â During the last week while not going to work and sleeping more his vision is better but not normal.Â He has never had vision loss in the past.Â Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12

Neuroretinitis Positive IgM Bartonella henselae382 views33 year old with vision loss. Her vision improved and she was treated with ciprofloxacen

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus382 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets381 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus381 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Pigmented Paravenous Retinochoroidal Atrophy - Left Eye380 views70 year old woman lost vision OS 20 years ago.

Primary Toxoplasmosis380 views76 year old man with blurred vision left eye. He improved to 20/25 in 2 months with valtrex. No steroids were given

Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive380 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16

Recurrent Toxoplasmosis - Resolves with no treatment379 views36 year old man with recent vision loss. He has a sulfa allergy. The eye was NOT treated and the uveitis resolved in about 6 weeks.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets378 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive377 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16

Cytomeglovirus376 views25 year old male experiencing blurry vision OS for two days. Onset very rapid. VA 20/40 OS 20/30 OD. After HIV titer test, determined the pt. had HIV and Cytomeglovirus.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets376 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption376 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Neuroretinitis and Multifocal Retinitis375 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets375 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Chronic Endophthalmitis and Cystoid Macular Edema375 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

374 views

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets374 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Neuroretinitis Positive IgM Bartonella henselae374 views33 year old with vision loss. Her vision improved and she was treated with ciprofloxacen

Chronic Endophthalmitis and Cystoid Macular Edema374 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

373 views

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets373 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Neuroretinitis Positive IgM Bartonella henselae373 views33 year old with vision loss. Her vision improved and she was treated with ciprofloxacen

Toxoplasmosis Macular Scar - Inactive372 views49 year old man Toxoplasmosis was diagnosed in his 20s. No past eye surgeries OU. He had floaters a few weeks ago with dots and a long line in the vision. Since then they have gone away.
VA OD: Dcc20/20 NccJ1+
VA OS: Dcc20/16 NccJ1+

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets371 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets370 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets368 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive368 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16

Acute Syphilitic Posterior Placoid Chorioretinitis368 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.Â He thought it might be from fatigue.Â The month of March was very stressful.Â After a few days the spot in the left eye got darker and he could not drive at night.Â During the last week while not going to work and sleeping more his vision is better but not normal.Â He has never had vision loss in the past.Â Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12

367 views

Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus367 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up

Recurrent Toxoplasmosis - Resolves with no treatment - 1 month follow-up no treatment - vision is better367 views36 year old man with recent vision loss. He has a sulfa allergy. The eye was NOT treated and the uveitis resolved in about 6 weeks.

Chronic Endophthalmitis and Cystoid Macular Edema366 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Recurrent Toxoplasmosis - Resolves with no treatment366 views36 year old man with recent vision loss. He has a sulfa allergy. The eye was NOT treated and the uveitis resolved in about 6 weeks.

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets365 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Chronic Endophthalmitis and Cystoid Macular Edema365 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Chronic Endophthalmitis and Cystoid Macular Edema364 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption364 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets363 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Chronic Endophthalmitis and Cystoid Macular Edema362 viewsVA 20/50 - Culture negative. Cleared with intravitreal antibiotics and decadron

Acute Syphilitic Posterior Placoid Chorioretinitis362 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.Â He thought it might be from fatigue.Â The month of March was very stressful.Â After a few days the spot in the left eye got darker and he could not drive at night.Â During the last week while not going to work and sleeping more his vision is better but not normal.Â He has never had vision loss in the past.Â Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12

Toxoplasmosis Macular Scar - Inactive360 views49 year old man Toxoplasmosis was diagnosed in his 20s. No past eye surgeries OU. He had floaters a few weeks ago with dots and a long line in the vision. Since then they have gone away.
VA OD: Dcc20/20 NccJ1+
VA OS: Dcc20/16 NccJ1+

Neuroretinitis - Negative cat scratch serology twice - Possible Behcets359 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption359 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption358 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption356 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

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