Symptoms to Diagnosis

Central vision loss in a 44-year-old woman

Walker M. Schmidt, BS, Nirosha D. Perera, MD, Blake H. Fortes, MD, Benjamin A. Nelson, MD, Wendy M. Smith, MD and Hannah C. Nordhues, MD
Cleveland Clinic Journal of Medicine January 2023, 90 (1) 35-41; DOI: https://doi.org/10.3949/ccjm.90a.22038

Article Figures & Data

Figures

  • Figure 1
    Figure 1

    (A) Near infrared reflectance and (B) corresponding macula optical coherence tomography of the left eye, derived from the green line in image (A), demonstrate subretinal infiltrates (white arrow) and increased choroidal hypertransmission (white bracket) due to outer retinal atrophy. Vitritis is shown with a white asterisk.

  • Figure 2
    Figure 2

    Fundus autofluorescence of right and left eye. (A) In the right eye, there is a placoid appearance in the macula (white arrow). (B) In the left eye, there is a stippled pattern of hyperautofluorescence and hypoautofluorescence scattered throughout the macula (white arrow). (C) Fluorescein angiography and (D) indocyanine green angiography of the right eye demonstrate a stippled pattern of hyperfluorescence with regions of hypofluorescence owing to blocking consistent with the location of the subretinal infiltrates (white arrow in C; similar finding in D). Just inferior to the inferior vascular arcade, there is a band of perivascular hyperfluorescence consistent with perivascular staining (white bracket).

Tables

  • TABLE 1

    Uveitis

    LocationStructuresPossible etiology
    Anterior uveitisIris, ciliary body, anterior chamberSarcoidosis, ankylosing spondylitis, inflammatory bowel disease, Lyme disease, syphilis
    Intermediate uveitisVitreous, peripheral retinaTuberculosis, multiple sclerosis, sarcoidosis, inflammatory bowel disease, Lyme disease, syphilis
    Posterior uveitisRetina, choroidToxoplasmosis, tuberculosis, herpes simplex virus, varicella zoster virus, Lyme disease, syphilis
    PanuveitisAll of the aboveSarcoidosis, sympathetic ophthalmia, ocular or hematologic neoplasm, tuberculosis, Behcet disease, Lyme disease, syphilis
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Subjects