Middle-age man experiences unilateral sudden-onset vision lo
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A 44-year-old man with no significant medical or ocular history was referred by an outside optometrist to Ophthalmic Consultants of Boston for sudden-onset painless decreased vision of the right eye that began 4 days before presentation. At that time, the patient was also experiencing fevers, fatigue, 3 weeks of painless sores on the roof of his mouth, and spots on his palms and soles. His primary care physician obtained blood work, including CBC, ESR, BMP, HIV, Lyme, rheumatoid factor, RPR, ANCA and ANA, which were all negative except for an ANA titer of 1:80. The patient was then referred to rheumatology.

The patient denied smoking and IV drug use. He was homosexual but denied any history of sexually transmitted diseases. The patient initially attributed the sudden-onset decreased vision in his right eye to an ocular migraine. However, when his symptoms did not improve, he sought treatment with a local optometrist who subsequently referred him to Tufts New England Eye Center’s uveitis specialist.

https://goo.gl/865KE4
Like
Comment
Share