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2008 Series -  November 18, 2008 Lecture 7 of 53  NEXT»

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Figure_1
Photos courtesy of: Mamta Agarwal, Sankara Nethralaya, India
Used with permission. Not to be reproduced.

A 21-year-old man presented with complaints of gradual diminution of vision and floaters in the left eye for one month. This is the first time he experienced these symptoms and there was no history of any systemic illness. Currently, he was taking oral steroids (Prednisolone 20 mg/day), calcium supplements, and antacids. His best corrected visual acuity was 6/6 in the right eye and counts fingers at 1 meter in the left eye. The right eye was within normal limits. Slit lamp biomicroscopy in the left eye showed anterior chamber cells 1+, flare 1+ and vitreous cells 2+. Fundus examination of the left eye was as shown above.

1. What is the most likely clinical diagnosis?

a. toxocariasis
b. toxoplasmosis
c. sarcoidosis
d. viral retinitis

2. What is the recommended treatment?

a. Acyclovir
b. intravenous methyl prednisolone
c. antimicrobial agents (pyrimethamine, sulphadiazine, clindamycin) and oral steroids
d. intravitreal triamcinolone acetonide

For answers to the above, click here on or after November 25, 2008.

 

 


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