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1. History
2. Exam
3. Photos
4. Diagnosis
5. Teaching Points
6. Comments

Case 137 Exam

• Visual Acuity

  OD 20/20

  OS 20/40

• Pupils: relative afferent pupillary defect present on the right
• Extraocular motility, alignment, and intraocular pressures were normal OU
• Confrontation visual fields were normal in the left eye, but demonstrate mild temporal loss in the right eye
• Slit lamp examination of the right eye demonstrated a nasal pterygium with Stocker line, small keratic precipitates throughout the corneal endothelium.  There is trace anterior segment cell and 2+ anterior vitreous cell.  Slit lamp examination of the left eye was normal except for a nasal pterygium with Stocker line.
• Lab Studies:
  • nFTA – Negative
  • RPR – Negative
  • Toxocara canis antibodies – negative
  • Lyme antibody studies – negative
  • Bartonella henselae antibody studies - negative
  • ESR - normal
  • ACE – normal
  • ANA – normal
  • PPD – positive
  • Toxoplasma gondii  antibody study IgM – negative
  • Toxoplasma gondii  antibody study IgG – positive