CASE 25

Click to enlarge

History

A 36-year-old man complains of sudden, painless decreased vision in his right eye over 1 week. His medical history is significant for recurrent fevers and lymphadenopathy. The photograph illustrates the right eye.

Questions

1. Describe the ophthalmoscopic findings.

 

2. What further history would you obtain from the patient?

 

3. What is the differential diagnosis of this type of fundus lesion?

 

4. How would you treat the patient?