Joseph G. Territo,
Retina Associates of
Western New York,
Rochester, New York
The answer to this month’s mystery image:
A 37-year-old white man presented with a one-week history of flashes, slightly blurred vision and a visual acuity of 20/25 in his right eye. Dilated examination showed apparentpigment epithelial edema extending from the optic nerve over to and bisecting the fovea. Although there is no clear scientific evidence that acyclovir is effective, a three-week trial of Zovirax was recommended.
The patient then disappeared from our office and came back three years later, indicating he had been on acyclovir (800 milligrams per day) for almost the entire three years, being monitored only by a physician's assistant. The patient now had 20/400 vision in the right eye. Dilated examination revealed extensive destruction of both the pigment epithelium and the choriocapillaris throughout most of the right posterior pole.
Written by Joseph G. Territo and Robert E. Vanderlinde, MD.
Blink is edited by Richard E. Hackel, MA, CRA, FOPS