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Choroidal Granuloma from Presumed Ocular Tuberculosis An adult patient presented to the Bascom Palmer emergency room with 1 year of vision loss in the right eye and 3 months of vision loss in the left eye. She lived outside the United States in a country where tuberculosis was non-endemic, however …

Bartonella Henselae Multifocal Choroiditis A patient with a history of Crohns disease controlled with infliximab presented with 2 weeks left sided blurred vision. He had recently been admitted to the hospital for fever of unknown origin where extensive testing was performed and he was evaluated by …

Vogt-Koyanagi-Harada (VKH) Disease A middle-aged patient with no past medical history presented with acute onset vision loss in the left eye with flashes and floaters for one day. Best-corrected visual was 20/80 in the right eye and 20/800 in the left eye. Intraocular pressures were normal. Anterio…

A patient with multifocal choroiditis and serous retinal detachment in the setting of systemic cat scratch disease. Wide field fundus photos with multifocal small white subretinal lesions. Optical coherence tomography of the macula with serous retinal detachment, subretinal inflammatory material, a…

Vogt-Koyanagi-Harada A patient with acute onset bilateral blurry vision presented with bilateral multifocal serous detachments in the absence of other intraocular inflammatory findings. The patient had a past medical history notable for treated chlamydia and gonorrhea. The use of immunosuppressive …

Cytomegalovirus Anterior Uveitis A patient presented with acute blurry vision, foreign-body sensation, and elevated intraocular pressure in the left eye. On examination, he had evidence of chronic intraocular inflammation including keratic precipitates, He had experienced similar episodes periodica…

Fundus photo demonstrating a peripaillary elevated lesion. OCT with subretinal fluid and retina thickening. CT scan showed pulmonary nodules.

HTLV1 Associated Uveitis A patient presented to the Bascom Palmer Eye Institute with complaints of floaters in the left eye for 3 years and the right eye for 3 months. Vision was best corrected to 20/25 in both eyes. Anterior segment exam revealed fine KP in both eyes without significant anterior s…

Sympathetic Ophthalmia A patient presented with blurry vision in the right eye for one day. He had a history of remote retinal detachment repair in the left eye due to blunt trauma. Slit lamp examination revealed anterior uveitis in the right eye and prolapsed iris tissue in an old surgical wound i…

Tattoo Granuloma with Uveitis A patient presented with painful decreased vision in the right eye for 3 weeks. He was found to be in pupillary block with 360* posterior synechiae and anterior chamber cell in both eyes. A laser peripheral iridotomy was performed with relief of pain and elevated press…

In this module, we will look at:




Anterior Uveal Anatomy



Posterior Uveal Anatomy


Uveitis

Immunocompromised patient with HIV and CMV retinitis. The perivascular inflammation and whitening are known as frosted branch angiitis.

Retinal Vasculitis in Birdshot Chorioretinopathy A 51-year-old female who presents to the uveitis clinic for evaluation of progressive vision loss of both eyes. Patient was referred after a complete infectious and non-infectious uveitis lab workup which was negative. Retinal vasculitis with abnorma…

VKH A 52-year-old female that presents with blurry vision and eye pain for 2 days. VA OD E at 6' and OS 20/400. AC trace cell. Vit 1+ cell. DFE and OCT showed swollen optic disc and bilateral serous retinal detachments. Most likely diagnosis for bilateral panuveitis with serous retinal detachments …

HLA-B27-Associated Uveitis A 58-year-old male with a history of CAD, HTN, atrial fibrillation, and schizophrenia presented with 2 days of decreased vision, redness, and pain in the right eye. There was no trauma. Visual acuity was CF OD and IOP OD was elevated. Exam revealed a hemorrhagic hypopyon …