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Apr 2 2020 by Olivia Rainey

Ultrawide-field fluorescein angiogram of a 42-year-old male with syphilitic uveitis affecting his right eye more than his left. Patient is HIV positive. He developed hearing loss and palm/leg/scalp rash prompting diagnosis of neurosyphilis, s/p IM and full IV course of 2.4 Mil PCN G, and finished this course 3/9/20. He admits to recent rectal bleeding with ongoing plan for colonoscopy 3/16/20. He has a history of extensive travel including London, Hong Kong, and Bangkok. His husband has also been treated with IV PCN G, however per chart review he has multiple sexual partners. Patient's vision was 20/20 in each eye.

Photographer: Olivia Rainey

Imaging device: Optos California

Condition/keywords: disc hyperfluorescence, FA late phase leakage, fluorescein angiogram (FA), fluorescein leakage, HIV, late phase, optic nerve edema, Optos, phelbitis, syphilis neuroretinopathy, ultra-wide field imaging, uveitis