Search results (7 results)

May 30 2014 by Mitzy E Torres Soriano, MD

50-year-old man, presented with sudden onset of reduced vision in the left eye. Visual acuity (VA) was count fingers. Fundoscopic examination revealed soft exudation adjacent the optic nerve, macular edema with hard exudates in star shape arrangement and retinal vasculitis. OCT confirmed macular edema. There were no systemic symptoms. History of alcoholism and crack cocaine addiction. Systemic work up revealed a positive leptospira. He was treated with oral doxycicline (100mg twice daily) and prednisona (1mg/kg with gradual taper) for two weeks. Follow up at six months showed an improvement of VA to 20/60 with partial resolution of clinical findings at fundoscopic exam. Leptospirosis should be ruled out in every case of neuroretinitis.

Photographer: Mitzy E. Torres Soriano, MD; Centro medico Cagua-Estado Aragua. Venezuela

Imaging device: Retinal Camera TRC-NW8, TOPCON

Condition/keywords: leptospirosis, macular star, neuroretinitis, retinal vasculitis

May 15 2014 by Mallika Goyal, MD

Right eye fundus of a 25-year-old female patient shows resolving macular exudates and completely resolved disc edema 4 weeks after initiating pulsed intravenous steroids for idiopathic neuroretinitis. All relevant investigations (to rule out sarcoidosis, TB, SLE, leptospirosis, syphilis, borrelia bergdorferi, HIV returned negative).

Photographer: Mallika Goyal, MD, Apollo Health City, Jubilee Hills, Hyderabad, India

Condition/keywords: neuroretinitis

Apr 19 2014 by Mallika Goyal, MD

Right eye fundus of a 25-year-old female patient shows resolving macular exudates and disc edema 5 days after initiating pulsed intravenous steroids for idiopathic neuroretinitis. All relevant investigations (to rule out sarcoidosis, TB, SLE, leptospirosis, syphilis, borrelia bergdorferi, HIV returned negative).

Photographer: Mallika Goyal, MD, Apollo Health City, Hyderabad, India

Condition/keywords: neuroretinitis

Apr 19 2014 by Mallika Goyal, MD

Right eye fundus of a 25-year-old female patient shows resolving macular exudates and disc edema 5 days after initiating pulsed intravenous steroids for idiopathic neuroretinitis. All relevant investigations (to rule out sarcoidosis, TB, SLE, leptospirosis, syphilis, borrelia bergdorferi, HIV returned negative).

Photographer: Mallika Goyal, MD, Apollo Health City, Hyderabad, India

Condition/keywords: neuroretinitis

Apr 19 2014 by Mallika Goyal, MD

Right eye fundus of a 25-year-old female patient shows resolving macular exudates and disc edema 2 days after initiating pulsed intravenous steroids for idiopathic neuroretinitis. All relevant investigations (to rule out sarcoidosis, TB, SLE, leptospirosis, syphilis, borrelia bergdorferi, HIV returned negative).

Photographer: Mallika Goyal, MD, Apollo Health City, Hyderabad, India

Condition/keywords: neuroretinitis

Apr 19 2014 by Mallika Goyal, MD

Right eye fundus of a 25-year-old female patient shows resolving macular exudates and disc edema 2 days after initiating pulsed intravenous steroids for idiopathic neuroretinitis. All relevant investigations (to rule out sarcoidosis, TB, SLE, leptospirosis, syphilis, borrelia bergdorferi, HIV returned negative).

Photographer: Mallika Goyal, MD, Apollo Health City, Hyderabad, India

Condition/keywords: neuroretinitis

Apr 19 2014 by Mallika Goyal, MD

Right eye fundus of a 25-year-old female patient with idiopathic neuroretinitis shows disc edema and congestion with macular exudates and edema at presentation. All relevant investigations (to rule out sarcoidosis, TB, SLE, leptospirosis, syphilis, borrelia bergdorferi, HIV returned negative). She was treated with pulsed intravenous steroids with resolution.

Photographer: Mallika Goyal, MD, Apollo Health City, Hyderabad, India

Condition/keywords: neuroretinitis