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2010 Series -  November 16, 2010 Lecture 7 of 52  NEXT»

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Photos courtesy of: Matej Polomsky, M.D. and Kenneth Cohen, M.D.
Photos taken by:
Rona Lyn Esquejo-Leon, CRA. Used with permission. Not to be reproduced.

A 24-year-old female presents with bilateral decreased vision for the past week accompanied by headache. She first noticed wavy lines in her central vision which have now progressed to large central scotomas. Her visual acuity is 20/400 in the right eye and count fingers at two feet in the left eye. The fundus examination of the right eye is shown above on the left. The left eye has a similar appearance. The remainder of the examination is within normal limits. You later obtain a fluorescein angiogram to confirm the diagnosis, shown above (center and right).

1. The diagnosis in the above case is most likely which of the following?

a. geographic atrophy
b. multiple evanescent white dot syndrome
c. age-related macular degeneration
d. acute posterior multifocal placoid pigment epitheliopathy
e. none of the above

2. The condition above is associated with which of the following characteristics?

a. Males are affected as often as females.
b. It is usually unilateral.
c. It affects individuals in the 5th to 7th decades.
d. It is precipitated by a viral illness in one-half of cases.
e. It is a form of infectious uveitis.

3. Which of the following systemic conditions can be seen with the condition above?
a. HLA-B7 and HLA-DR2 haplotypes
b. CNS vasculitis
c. thyroiditis
d. sarcoidosis
e. all of the above

4.   Which of the following is true regarding the above condition?
a. Fluorescein angiography shows the characteristic finding of early hypofluorescence followed by late hyperfluorescence of the lesions.
b. All cases are self-limiting and visual acuity returns to baseline.
c. Affected individuals should be referred for a complete neurologic and systemic work-up.
d. all of the above
e. (a) and (c) only


For answers to the above, click here on or after November 23, 2010.

 

 


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