Thirty Y/O male American patient presented to ER with a history of one week right eye gradual decrease of vision and pain especially when looking upward. No history of contact with cat, recent URTI, STD, drink of unpasteurized milk or uncooked meat as well as no history of trauma. No ocular illness before. No DM, HTN and negative drug history. His grandfather had a history of TB in his eye & was managed medically.
On examination:
• VA: ..................... • IOP:..... ... .......... • Color Vision:OD: 20/200... . . .... OD: 15mmHg....... ....... OD: 14/15
OS: 20/20...... ........ OS: 14 mmHg ...............OS: 15/15
Slit lamp examination of anterior segment of both eyes was normal except 2+ rAPD OD. Dilated fundus exam of left eye was normal but exam of right eye showed manifestations that shown in the following photos. (press on the title of this post)
Q1: what are the findings shown in fundus photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
• VA: ..................... • IOP:..... ... .......... • Color Vision:OD: 20/200... . . .... OD: 15mmHg....... ....... OD: 14/15
OS: 20/20...... ........ OS: 14 mmHg ...............OS: 15/15
Slit lamp examination of anterior segment of both eyes was normal except 2+ rAPD OD. Dilated fundus exam of left eye was normal but exam of right eye showed manifestations that shown in the following photos. (press on the title of this post)
Q1: what are the findings shown in fundus photos and FFA?
Q2: What is your diagnosis and how are you going to manage such a case?
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Try to answer previous questions then go and download your powerpoint presentation of the case -including diagnosis management as well as differential diagnosis and discussion- from the following link:
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This case was presented to you by Dr. D. Al-Harkan (Thanks Dr. D. Al-Harkan)
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