Grand Rounds
  Most Recent Cases
  Dates of Case
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
21 year old man with blurry vision OD for one week
Digital Journal of Ophthalmology 1996
Volume 2, Number 3
September 23, 1996
Printer Friendly



Lynette Watkins, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
Vision: 20/200 OD, 20/20 OS
Pupils: Normal OU, No APD
External: Slight scarring on the face and trunk in previous areas of rash
Slit lamp examination: Normal OU, anterior chamber and anterior vitreous clear
Fundus examination: see Figures 1-3
top
Figure 1
This is a view of the right fundus at presentation, there is a whitish perifoveal lesion in the macula

Figure 2
View of the right fundus, one week after presentation which shows extension of the whitish lesion, the lesion appears to involve the deep retina with relative sparing of the retinal vessels.

Figure 3
View of the right fundus at four weeks which shows a complete wipe out of the posterior pole by the lesion, there is also a large amount of hemorrhage present. At this point the patient had NLP vision.