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“Bull’s Eye” Maculopathy

“Bull’s Eye” Maculopathy. Patient presents with fundus & FA findings. Patient taking 500mg/day hydroxychloroqine What is the diagnosis / prognosis for this patient ?. Cotton Wool Spots. related to SLE related to DM retinopathy resolve completely within 5-7 weeks

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“Bull’s Eye” Maculopathy

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  1. “Bull’s Eye” Maculopathy • Patient presents with fundus & FA findings. • Patient taking 500mg/day hydroxychloroqine • What is the diagnosis / prognosis for this patient?

  2. Cotton Wool Spots • related to SLE • related to DM retinopathy • resolve completely within 5-7 weeks • patient RTC 3 months to R/O progression to PDR.

  3. dacryoadenitis • superior lateral eyelid swelling & adjacent adnexal swelling • s-shaped ptosis • injection of lacrimal gland & surrounding conjunctiva • treated with • keflex 500 mg poqid • amoxicillin 250-500mg potid

  4. epiphora • congenital nasolacrimal duct obstruction • valve of Hasner not completely open @ birth • 6% of infants • may look like conjunctivitis or dacryocystitis • spontaneous resolution within months

  5. dacryocystitis • painful swelling • hyperemia • epiphora • treat with: • warm compresses • massage • augmentin 500mg bid or tid for 10-14 days

  6. pigmentary dispersion syndrome (PDS) • transilumination defects • Krukenberg spindle (pigment on posterior cornea) • more frequent in caucasians!

  7. pseudoexfoliation syndrome • amyloid-like, fibro-granular material appears to “flake off lens.” Believed to be basement membranes of eye (inc. lens capsule) • older (> 70) • females > males (more males develop glaucoma) • Scandinavian ancestry

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