1. CASE PRESENTATION

2. HISTORY
43y, healthy, caucasian, female
PC: L red painful eye 1/52
GMH: pleurisy 3y ago
Medication: nil
Allergies: nil
POH: nil

3. 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

4. 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

7. IMP: panuveitis/ neuroretinitis
PLAN: g Maxidex hourly, g Cyclo 1% tds, oc Maxitrol
INVESTIGATIONS
FBC, ESR, CRP, U+E, LFT
SERUM ELECTROPHORESIS
ACE, Ca, CXR
RF, ANA, ANCA
HLA A-29, B-5, B-27
VDRL/ LYME SEROLOGY
FU 1/7

8. 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

9. MEH
Diagnosed ARN
IV Aciclovir
LASER
Other eye not affected