vanderbilt fellows vitreoretinal case conference...detailed report spectralis@ tracking laser...
TRANSCRIPT
![Page 1: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/1.jpg)
VanderbiltFellowsVitreoretinalCaseConference
![Page 2: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/2.jpg)
• 15 y/o male sudden vision loss OD x 5 days
Chief Complaint
![Page 3: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/3.jpg)
• No significant medical hx• No past ocular hx• No significant family hx
Past Medical History
![Page 4: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/4.jpg)
• Denies tobacco/alcohol/illicit drug use• No medications
Social History
![Page 5: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/5.jpg)
OD OSVision CF 20/20Pupils r/r r/rMotility Full
OrthoFull
IOP 13 13External Wnl WnlCVF FCF FCF
Exam
![Page 6: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/6.jpg)
OD OSL/L/L Wnl WnlC/S w/q w/qK Clear ClearA/C d/q
No celld/q
I/P r/r r/rL Clear ClearAvit clear clear
Anterior Segment
![Page 7: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/7.jpg)
![Page 8: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/8.jpg)
![Page 9: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/9.jpg)
![Page 10: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/10.jpg)
![Page 11: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/11.jpg)
Irregularity of the outer photoreceptor layer
![Page 12: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/12.jpg)
![Page 13: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/13.jpg)
Upon further questioning
Developed hand, foot and mouth disease one week prior
![Page 14: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/14.jpg)
Labwork• Coxsackievirus A9 – 1:64 • Coxsackievirus B3 – 1:160• Coxsackievirus B4 – 1:320
![Page 15: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/15.jpg)
Course• Diagnosis: Unilateral acute idiopathic
maculopathy– Short course of PO steroids
![Page 16: Vanderbilt Fellows Vitreoretinal Case Conference...Detailed Report SPECTRALIS@ Tracking Laser Tomography Orellana, Erick Patient: Patient ID: 021189725 Diagnosis: Chorioretinal inflammation](https://reader033.vdocuments.mx/reader033/viewer/2022061004/60b27c9d35a8ba1c9c1019eb/html5/thumbnails/16.jpg)
6 week follow-up – Va 20/40 OD