A blog dedicated to providing a resource for medical students interested in all things retina. This is solely moderated by medical students and, while we take every effort to be accurate, it does not represent a definitive reference...we just want to put the FUN in fundus!
Arteries and veins look okay to me. Cup/disk=0.4? (hard to tell, bright). There appears to be some edema (yellow on temporal half of the macula)that could accounting for this patients acute vision loss. There is also a yellow exudate just inferior to the superior temporal artery and few small ones running along the inferior temporal artery. These can bee seen on the fluorescein angiogram below. On the zoomed out image of more of the retina, orange streaks can be seen.
Given that it is a patient just started on treatment for strep sepsis, I am led to believe this is a drug reaction. I believe penicillin is most commonly used for strep, but something more aggressive may be used if the patient is in sepsis.
Arteries and veins look okay to me. Cup/disk=0.4? (hard to tell, bright). There appears to be some edema (yellow on temporal half of the macula)that could accounting for this patients acute vision loss. There is also a yellow exudate just inferior to the superior temporal artery and few small ones running along the inferior temporal artery. These can bee seen on the fluorescein angiogram below. On the zoomed out image of more of the retina, orange streaks can be seen.
ReplyDeleteGiven that it is a patient just started on treatment for strep sepsis, I am led to believe this is a drug reaction. I believe penicillin is most commonly used for strep, but something more aggressive may be used if the patient is in sepsis.