associations
cerebral vasculitis
myopic female unilateral photopsias
MEWDS
serpiginous also known as?
helicoid or geographical choroidopathy
1/4 of AZOOR pts have what general systemic issue?
autoimmune disease
name the 3 white dot syndromes commonly seen with vitritis
APMPPE, birdshot, MFCPU
punched out lesions
POHS, multifocal choroiditis
FA findings in serpiginous
block early stain late (active lesions)
older lesions are like window defects
AZOOR treatment
none proven
tho *most* recover over time
looks like histo with vitritis
MFCPU
actual white dots
MEWDS
serpiginous treatment
no consensus: single immunosuppressive agent vs triple therapy azathioprine/cyclosporine/prednisone
what does AMN stand for
acute macular neuroretinopathy
rare, paracentral scotomas, likely viral. flat parafoveal wedge shaped lesions. self limited.
name 2 white dots without vitritis (classically)
serpiginous, PIC
vitiliginous choroiditis
birdshot
which is more impressive with birdshot: FA or ICG
ICG (more widespread involvement than what appears on FA)
what does UAIM stand for
Unilateral acute idiopathic maculopathy
severe unilateral VA loss. possibly viral (coxsacki, HIV)
irregular macular serous RD
B51 possible a/w which white dot
MEWDS
look it up.
decrease B wave amplitude on ERG
birdshot
how to monitor birdshot progression
full field ERG (prolonged 30 hz flicker times), VF testing
diagnosis? photopsias, VF loss over weeks, b/l symmetric. RAPD, vitiris, RPE changes. ERG changes. typical stuff ruled out.
AZOOR