CASE 10

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History

A 35-year-old African-American woman is admitted to the hospital for evaluation of fever of unknown origin. She recalls experiencing several episodes of bilateral photophobia, decreased vision, and mild discomfort. Signs of disease are similar in both eyes but are asymmetric. In the photograph, the larger lesions are on the iris, and the smaller lesions are on the endothelial surface of the cornea.

Questions

1. Explain this patient's ocular symptoms..

 

2. Describe and explain the ocular findings shown in the photograph.

 

3. What is the differential diagnosis? What information pertinent to the patient's history and what laboratory tests would you need to confirm your clinical impressions?

 

4. How should the ocular manifestations be treated?