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Uveitis
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Nodular episcleritis
SEP 23, 2022
Episcleritis is a relatively common, benign, self-limited inflammation of the episcleral tissues. There are two forms of this condition: nodular and simple. Nodular episcleritis is characterized by a discrete, elevated area of inflamed episcleral tissue.
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Ozurdex implant
JUN 23, 2022
A 43-year-old man with history of ruptured globe of the right eye (OD) from broken glass. Status post-pars plana vitrectomy, secondary iris sutured IOL and subsequent OZURDEX® (dexamethasone intravitreal) implant placement for management of refractory cystoid macular edema (…
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Koeppe nodules and mutton-fat keratic precipitates
JUL 20, 2021
Koeppe nodules and mutton-fat keratic precipitates in granulomatous uveitis.
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Koeppe nodules
JUL 20, 2021
Koeppe nodules in granulomatous uveitis.
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Anterior chamber granuloma
JUL 20, 2021
Anterior chamber granuloma (Berlin’s nodule = pearl’s tumor).
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Systemic condition associated with ocular pain
JUL 15, 2021
The patient's external eyelids look normal, there are normal palpebral conjunctivae, no significant corneal staining on fluorescein in either eye, normal tear lake, and a history of fibromyalgia, migraine, depression, and anxiety. What's causing ocular pain: Systemic condit…
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Systemic condition associated with ocular pain
JUL 15, 2021
There is fibrosis on the inferior palpebral conjunctiva, inferior corneal staining with fluorescein in both eyes, and a history of oral and skin lesions. what's causing ocular pain: Systemic condition associated with ocular pain .
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Eyelid source of pain
JUL 15, 2021
The patient reports pain around the lower eyelid and has inferior nasal staining with Lissamine Green. What's causing ocular pain: Eyelid source of pain.
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Eyelid source of pain
JUL 15, 2021
The patient's external eyelids look normal, but there is inferior corneal staining on fluorescein in both eyes and they cannot close their eyes. What's causing ocular pain: Eyelid source of pain
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Systemic condition associated with ocular paiin
JUL 15, 2021
The patient's external eyelids look normal, there is a papillary reaction and some fibrosis on the inferior palpebral conjunctiva, there is inferior corneal staining with Lissamine Green in both eyes, low tear lake, and a history of bone marrow transplant. what's causing oc…
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Eyelid source of pain
JUL 15, 2021
The patient does not blink and there is diffuse corneal staining on fluorescein. What's causing ocular pain: Eyelid source of pain .
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Local condition associated with ocular pain
JUL 15, 2021
The patient's external eyelids look normal, there are normal palpebral conjunctivae, no significant corneal staining on fluorescein in either eye, normal tear lake, and normal-appearing LASIK flaps noted on exam. What's causing ocular pain: Local condition associated with oc…
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Fine stellate keratic precipitates (KPs)
JUL 14, 2021
Typical fine stellate keratic precipitates (KPs) seen in a case of Fuchs heterochromic iridocyclitis.
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Fine stellate keratic precipitates (KPs)
JUL 14, 2021
Fine stellate keratic precipitates (KPs) are also seen in diseases such as Fuchs heterochromic iridocyclitis.
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Mucormycosis
JUN 02, 2021
Mucormycosis with characteristic black eschar in patient with uncontrolled diabetes.
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Toxoplasmosis peripapillary chorioretinal scar
FEB 03, 2021
Fundus photo of Toxoplasmosis peripapillary chorioretinal scar, left eye and fundus autofluorescence (FAF) with hypofluoresence highlighting .RPE atrophy.
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Toxoplasmosis chorioretinal scars
FEB 03, 2021
Toxoplasmosis Chorioretinal scars.
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Susac syndrome
FEB 02, 2021
Susac syndrome. A, Color fundus photograph revealing an area of intraretinal whitening corresponding to a superotemporal branch artery occlusion in the left eye. B, Fluorescein angiogram showing a superotemporal branch artery occlusion with multiple areas of segmental staini…
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Birdshot chorioretinopathy
FEB 02, 2021
Birdshot chorioretinopathy.
B, On indocyanine green angiogram, these spots are much more vis i ble as hypocyanescent spots.
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Birdshot chorioretinopathy
FEB 02, 2021
hot chorioretinopathy. Fluorescein angiogram showing diffuse retinal phlebitis.
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Birdshot chorioretinopathy
FEB 02, 2021
Birdshot chorioretinopathy. Fundus photo graph showing multiple postequatorial, cream- colored ovoid lesions.
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Pneumocystis jirovecii choroiditis
FEB 02, 2021
Fundus photograph of
choroiditis. The fellow eye revealed similar findings.
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Ocular syphilis
JAN 21, 2021
Ocular syphilis fundus photograph and optical coherence tomography left eye Acute Syphilitic Posterior Placoid Chorioretinopathy (ASPPC).
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Choroidal metastasis
JAN 19, 2021
Metastatic non-small cell lung adenocarcinoma with choroidal metastasis both eyes (OU).
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Serpiginous choroiditis
NOV 12, 2020
Serpiginous choroiditis. Fundus photo graph with area of active inflammation inferiorly
(arrows).
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Acute posterior multifocal placoid pigment epitheliopath
NOV 12, 2020
Acute posterior multifocal placoid pigment epitheliopathy. Fundus autofluorescencei mage showing scattered, hypoautofluorescent inactive lesions.
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Neurosarcoidosis with optic neuritis and multifocal choroiditis
SEP 03, 2020
Wide angle fundus photographs demonstrating subtle mid-peripheral small yellow/white choroidal infiltrates in both eyes. This patient presented with progressive, painless, left-sided monocular vision loss and elevated Angiotensin Converting Enzyme (ACE) and Lysozyme levels.…
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Neurosarcoidosis with optic neuritis and multifocal choroiditis
AUG 26, 2020
Wide angle fundus photographs demonstrating subtle mid-peripheral small yellow/white choroidal infiltrates in both eyes. This patient presented with progressive, painless, left-sided monocular vision loss and elevated Angiotensin Converting Enzyme (ACE) and Lysozyme levels.…
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Algorithm for anterior uveitis
MAR 03, 2020
Typical treatment algorithm for anterior uveitis.
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Multifocal choroiditis with panuveitis
MAR 03, 2020
The use of IMT has been shown to have inherent benefits for certain uveitic entities. In this example, the patients have the same disease, multifocal choroiditis with panuveitis (MFC-PU), which has been treated over several years. For patients with MFC-PU, the use of IMT has…
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Birdshot retinochoroidopathy
MAR 03, 2020
Color fundus photographs (from left to right: left fundus, right fundus) from a 73-year-old woman with birdshot retinochoroidopathy, one of the diseases for which treatment with IMT improves overall prognosis.
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Systemic vasculitis
MAR 03, 2020
Photographs of the right eye of a previously healthy 45-year-old man who presented with bilateral finger-counting visual acuity, necrotizing scleritis, and anterior uveitis. Workup revealed positive c-ANCA and microhematuria suggestive of systemic vasculitis. a. The patient…
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Serpiginous choroiditis
MAR 03, 2020
Color fundus photographs (top) and fluorescein angiogram (bottom) from a patient with serpiginous choroiditis. The disease course is progressive, and a high percentage of patients with serpiginous choroiditis develop bilateral severe vision loss. Treatment with IMT early in…
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Tapering down of oral corticosteroids
MAR 03, 2020
The systematic and standardized tapering down of oral corticosteroids may provide valuable information about the severity of the inflammatory disease being managed and help identify reactivation thresholds, which may, in turn, lead to an appropriate selection of IMT. The abo…
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Unilateral wipeout
JAN 09, 2020
DUSN, or unilateral wipeout.
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Capsular phimosis and intraocular lens subluxation
JAN 09, 2020
Capsular phimosis and intraocular lens subluxation. Capsular phimosis occurs rapidly after surgery and can cause lens dislocation, which can affect visual acuity. Creation of a larger anterior capsule opening is recommended for patients with uveitic cataracts.
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Posterior synechiae and cataract
JAN 09, 2020
Posterior synechiae and cataract. A laser iridotomy will not be required unless there is near-total iris–lens adhesion. Cycloplegia and mydriasis during acute exacerbations of inflammation prevent synechiae in the visual axis.
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Posterior capsular opacification
JAN 09, 2020
Early visually significant posterior capsular opacification (PCO). This can occur within a week of cataract surgery.
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Preoperative posterior synechiae and cataract
JAN 09, 2020
Preoperative posterior synechiae and cataract in the right eye (a) and left eye (b). Right-eye (c) and left-eye (d) pseudophakia after synechiolysis.
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Central posterior subcapsular cataract
JAN 09, 2020
Central posterior subcapsular cataract in a pediatric uveitis patient; this is seen best with retroillumination. Unlike congenital cataracts, these cause visual disturbances and glare.
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Recurrent PCO
JAN 09, 2020
Recurrent PCO. This can be discouraging to the patient and surgeon, and is noted particularly in eyes that are not completely quiet.
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Diffuse Unilateral Subacute Neuroretinitis
JAN 09, 2020
Diffuse unilateral subacute neuroretinitis (DUSN). Note the multiple white retinal lesions and the S-shaped nematode in the subretinal space.
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Posterior synechiae
MAR 19, 2019
Slit-lamp photograph of the anterior segment showing posterior synechiae in a patient with anterior uveitis associated with juvenile idiopathic arthritis.
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Cytomegalovirus-positive chronic anterior uveitis
MAR 19, 2019
Slit-lamp photograph of a pseudophakic eye with cytomegalovirus-positive chronic anterior uveitis, showing diffuse, fine keratic precipitates and the absence of posterior synechiae.
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Hypon in acute anterior uveitis
MAR 19, 2019
Slit-lamp photograph of the anterior segment showing hypopyon in a patient with acute anterior uveitis.
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Mutton-fat keratic precipitates
MAR 19, 2019
Slit-lamp photograph of an eye showing a mixture of fine, small–medium, and mutton-fat keratic precipitates in a patient with sarcoid-associated anterior uveitis.
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Scleritis
MAR 21, 2018
Episcleritis and scleritis are inflammatory conditions that present with redness and tenderness. The involvement tends to be localized but both conditions have diffuse variants. The etiology is often idiopathic but there is an association with rheumatoid arthritis and other…
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Ankylosing Spondylitis
MAR 21, 2018
Up to 25% of patients with ankylosing spondylitis have one or more attacks of iritis, a form of intraocular inflammation, which may precede the clinical arthritis. Patients typically present with photophobia, redness, and decreased vision. Patients with symptoms or signs sug…
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Ocular tuberculosis and coexisting cerebra
OCT 23, 2017
Ocular tuberculosis (TB) and coexisting cerebral TB. a. Mutton-fat keratic precipitates. b. Magnetic resonance imaging was done for headache and demonstrated evidence of coexisting cerebral TB. There was no pulmonary TB. c. Choroidal tubercle with adjoining exudative deta…
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Pediatric tuberculosis anterior uveitis
OCT 23, 2017
Pediatric tuberculosis anterior uveitis. a. This 6-year-old boy had bilateral chronic anterior uveitis with band keratopathy. b. The Mantoux reaction for this patient was hyperreactive, measuring 25 mm × 26 mm in 48 hours. c. Chest x-ray showed marked mediastinal widening…
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