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2007 Series : November 27, 2007

December 25, 2007  |  December 18, 2007  |  December 11, 2007  |  December 4, 2007  |  November 27, 2007  |  November 20, 2007  |  November 13, 2007  |  November 6, 2007  |  October 30, 2007  |  October 23, 2007  |  October 16, 2007  |  October 9, 2007  |  October 2, 2007  |  September 25, 2007  |  September 18, 2007  |  September 11, 2007  |  September 4, 2007  |  August 28, 2007  |  August 21, 2007  |  August 14, 2007  |  August 7, 2007  |  July 31, 2007  |  July 24, 2007  |  July 17, 2007  |  July 10, 2007  |  July 3, 2007  |  June 26, 2007  |  June 19, 2007  |  June 12, 2007  |  June 5, 2007  |  May 29, 2007  |  May 22, 2007  |  May 15, 2007  |  May 8, 2007  |  May 1, 2007  |  April 24, 2007  |  April 17, 2007  |  April 10, 2007  |  April 3, 2007  |  March 27, 2007  |  March 20, 2007  |  March 13, 2007  |  March 6, 2007  |  February 27, 2007  |  February 20, 2007  |  February 13, 2007  |  February 6, 2007  |  January 30, 2007  |  January 23, 2007  |  January 16, 2007  |  January 9, 2007  |  January 2, 2007

To see views enlarged, click on the individual pictures...


right eye (OD)


left eye (OS)

A 35-year-old female in good health presented with visual complaints.  She has had prior eye “infections” treated as a child.  Her visual acuity is OD 20/40 and OS 20/400.  The external examination is normal, intraocular pressure is 14 mm hg in each eye and the refraction is OD +.50 and OS Plano.  Dilated fundus examination is as shown in the pictures.

1.  The most likely diagnosis is:   
 

a. toxoplasmosis; acute OD, chronic OS
b. AIDS
c. histoplasmosis
d.  serpiginous retinopathy
e. bird shot retinopathy

2.  The most likely cause of this is:  
 

a. a virus
b. unknown
c. an autoimmune disease
d.  toxoplasma gondii
e. none of the above

3.  Treatment could include: 
 
a. sulfamethoxazole/trimetharprim tablet twice a day for three of four weeks
b. laser treatment
c. nothing; it is too late
d.  anti-tubercular treatment
e. none of the above

For answers to the above, click here on or after December 4, 2007.