Disseminated Chorioretinitis With Unknown Etiology

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File number: 28049


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    • By Kim Barrett
      Retina Specialist of Michigan
    • Uploaded on Apr 5, 2018.
    • Last modified by Kim Barrett on Apr 5, 2018.
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    disseminated chorioretinitis, chorioretinal scar, HIV, central retinal artery occlusion (CRAO), ciliary artery sparring, left eye, staining, optic atrophy
    Kim Barrett, COA
    Imaging device
    Fundus camera
    Ultra-wide field fluorescein angiogram of a 31-year-old female with intermittent pain in her left eye. Her condition has been managed in Liberia until recently when she moved to the United States. She suffers from multiple modalities including central retinal artery occlusion, posterior synechiae of the iris, interstitial keratitis, disseminated chorioretinitis, as well as HIV. An infectious cause is high on the differential in light of her HIV status. DDx: hypertensive crisis, an embolism (? IV drug use), coagulopathy, trauma, infectious. Blood work was normal. Her current vision is 20/30 right eye and 20/400 left eye.

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