History of Present Illness
A 20-year-old woman had a sudden loss of vision left eye (OS), which was noticed on awakening this morning. She has a history of pars planitis (intermediate uveitis) both eyes (OU) since age 8 that has recently been quiescent. She is currently on no medication for treatment of her ocular disease.
Exam
| OD | OS | |
|---|---|---|
| Visual acuity | 20/20 | 20/400 |
| Intraocular pressure (IOP) | 14 | 8 |
| Sclera/conjunctiva | Quite without inflammation | Quiet without inflammation |
| Cornea | Clear | Clear with nongranulomatous (NG) keratic precipitate (KP) in inferior one-third |
| Anterior chamber (AC) | No cell or flare | 1+ flare, 1+ cell |
| Iris | Within normal limits (WNL) | WNL. No posterior synechiae. |
| Lens | Clear | Clear with trace posterior subcapsular cataract (PSC) haze |
| Vitreous cavity | 1+ vitreous cells with few snowballs in inferior vitreous | 3+ vitritis with partial posterior vitreous detachment (PVD), vitreous traction to inferotemporal retina ( Fig. 82.1 ) |
| Retina/optic nerve | Normal optic nerve and retina. No CME. No traction on peripheral retina inferiorly but there is a persistent small snow bank inferiorly. | Retinal detachment with large horseshoe tear at 7:00 in periphery resulting in macula-off detachment ( Fig. 82.2 ) |
Fundus photograph of the left eye showing significant vitritis with snowballs. Notice vitreous bands extending to the inferior/inferotemporal retina.
This image was originally published in the Retina Image Bank website. Author: Mallika Goyal. Title: Retinal detachment with uveitis. Retina Image Bank. Year 2014; Image Number 13232. © the American Society of Retina Specialists.
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
