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Figure 1 - slit lamp examination Figure 2a - fundus, right eye Figure 2b - fundus, left eye Figure 3 - B scan Photos courtesy of: Carol L. Shields, M.D. Used with permission. Not to be reproduced.

A 49-year-old white male presented with a history of intermittent treatment with topical steroids and trans-septal steroid injections for anterior/ intermediate / posterior uveitis, for the past 5 years. His best corrected visual acuity was 20/80 and 20/20 in the right and left eye, respectively. The left eye was unremarkable on examination. Anterior segment examination [Fig 1] and fundus examination [Fig 2] was as shown above.

1.	Is there any conjunctival lesion?
	a. episcleritis b. inflamed pingeculae c. diffuse conjunctival lymphoid infiltration d. follicular conjunctivitis
2.	The fundus lesion is:
	a. uveal lymphoid infiltration b. posterior scleritis c. uveal effusion syndrome d. diffuse choroidal hemangioma
3.	Treatment would be on the lines of:
	a. systemic steroids +/- immuno-suppressive agents b. metastatic work up to rule out systemic involvement of the condition c. local radiotherapy

For answers to the above, click here on or after July 1, 2008.