CASE PRESENTATION

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CASE PRESENTATION
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HISTORY
43y, healthy, caucasian, female PC L red painful
eye 1/52 GMH pleurisy 3y ago Medication
nil Allergies nil POH nil
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CLINICAL EXAMINATION
VA R and L 6/6 PERL R NAD L injected ccc
cornea v cells flare IOP
12 Fundus NAD (? Dilated) IMP L acute
iridocyclitis PLAN g Maxidex qds, g cyclo 1
nocte/ 2/52 FU
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1/52 after L ? VA VA R 6/6 L 6/12 L
RAPD ISHIHARA R 17/17, L 1/17 Cornea fine
KP A/C IOP R13, L 15 VIT few cells/ minimal
haze FUNDUS L blurred disc margins
Multiple white choroidal spots/ temporal
Few haem., no sheathing
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IMP panuveitis/ neuroretinitis PLAN g Maxidex
hourly, g Cyclo 1 tds, oc Maxitrol INVESTIGATIONS
FBC, ESR, CRP, UE, LFT SERUM ELECTROPHORESIS ACE
, Ca, CXR RF, ANA, ANCA HLA A-29, B-5, B-27 VDRL/
LYME SEROLOGY FU 1/7
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NEXT DAY FU VA L 6/18 ISQ RETINAL
VASCULITIS ACE 61 ALP 151 GLC 8.1 ESR 25 CRP
10 REST NORMAL REFFERED TO MEH
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MEH

• Diagnosed ARN
• IV Aciclovir
• LASER
• Other eye not affected

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