Maurice F. Rabb » Cotton Wool Spots

Oct 10 2013 by Maurice F. Rabb

Forty one year old white male who presented for acute painless visual loss OD. There was a previous similar transient history of visual loss involving the right eye associated with a possible ill-defined cerebrovasculitis, which improved spontaneously. There also was a history of auditory difficulties. The vision at presentation was 1/200 OD, and 20/20 OS. Baseline kodachromes and a fluorescein angiogram are presented. With treatment and over a four month timeframe, the visual acuity improved to 20/25+ OD, while the left eye remained stable at 20/20.

Condition/keywords: cotton wool spots

Oct 10 2013 by Maurice F. Rabb

Fifty four year old white male suffered a tick bite, followed by a rash. On examination, visual acuity was 20/20 OD and 20/40 OS. In the left eye there were multiple inner retinal white spots throughout the posterior pole and in the superior periphery. Seen one week later, he complained of a 20% reduction in brightness with the left eye. Vision had improved to 20/20 and a number of the cotton-wool spots had resolved. There were questionable areas of focal anteriolar narrowing.

Condition/keywords: cotton wool spots