Anterior Uveitis
Mimics: leukemia, lymphoma, RBCs, pigment dispersion, foreign body
| Granulomatous: | Non-Granulomatous: |
| Sarcoidosis | HLA B27 |
| TB | Herpes Group (esp unilateral) |
| Herpes group | TINU (esp acute/bilateral) |
| Toxoplasmosis | Fuch’s Uveitis (heterochromia) |
| SO/VKH | JIA |
| Blau Syndrome (child) | Spirochetes (Syphilis, Lyme) |
| Bactrim etc | Behcet |
| Moxifloxacin (iris transillumination) | Post-infectious/reactive |
| Spirochetes (Syphilis, Lyme) | Other: Posner Schlossman or drug-related |
| MS associated uveitis | |
| Lens induced |
Intermediate uveitis
(Primary vitreous involvement +/-retinal vascular sheathing, CME, disc edema)
| Infectious: | Non-Infectious: |
| Syphilis | Multiple Sclerosis |
| TB | Sarcoidosis |
| Lyme Disease | Inflammatory bowel dz (Crohns, UC) |
| Bartonellosis (cat scratch) | |
| Toxocara (unilateral) | |
| HTLV-1 (joint/CNS findings) | |
| Whipple’s Disease (bowel and neuro dz) | |
| ?Toxoplasmosis |
Retinitis (chorioretinitis)
(Mimics: lymphoma, leukemia, met carcinoma, focal ischemia) Rule Out Infection!
Note: multimodal imaging is especially helpful in white dot syndromes
| Infectious: | Non-Infectious: |
| Toxoplasmosis (most common focal) | White dot syndromes (e.g. APMPPE) |
| Herpes group (HSV/VZV/CMV) | Acute macular neuroretinitis (AMN) |
| Syphilis | Behcet Disease |
| Bartonella (cat scratch) | |
| DUSN | |
| Toxocara | |
| Lyme Disease | |
| Endogenous fungus or bacteria | |
| Emerging (Dengue, Yellow fever, West Nile) |
Choroiditis:
(mimics: benign and malignant tumors, Leukemic/lymphoproliferative infiltrates, scleritis)
| Infectious: | Non-Infectious: |
| Syphilis | Sarcoidosis |
| Lyme Disease | APMMPE |
| TB (including Serpiginous-like) | Multifocal Choroiditis (+/- panuveitis) |
| Endogenous fungal/bacterial | Punctate Inner Choroiditis (PIC) |
| Cryptococcus (rare) | Ocular Histoplasmosis Syndrome |
| Coccidiodomycosis (rare) | Birdshot Choroiditis |
| Emerging dz (West Nile Virus) | Serpiginous and Relentless Placoid |
| Blau Syndrome (AD, sarcoid-like) |
Panuveitis:
| Infectious: | Non-Infectious: |
| Syphilis | Sarcoidosis |
| TB | Multifocal Choroiditis with Panuveitis |
| Toxoplasmosis | VKH |
| ARN/PORN | Sympathetic Ophthalmia |
| Endogenous fungal/bacterial | |
| Lyme Disease | |
| Onchocerciasis (outside US) |
Retinal Vasculitis:
| Infectious: | Non-Infectious: |
| Syphilis | Sarcoidosis |
| Herpes group (Frosted branch) | Eales Disease (?TB) |
| para-viral syndrome | SLE, PAN, Churg Strauss, Wegener |
| HIV | Birdshot (before choroiditis) |
| Toxoplasmosis | Multiple Sclerosis |
| Behcet Disease |
| Primary Artery: | Primary Vein: | Arteries and Veins: |
| Syphilis | Sarcoidosis | MS |
| Herpes Group | Eales Disease | Behcet Disease |
| SLE, PAN, Churg Strauss | para-viral syndromes | Wegener |
| Frosted Branch Angiitis | HIV | Frosted Branch Angiitis |
| Toxoplasmosis | ||
| Birdshot (before choroiditis) |
For a telemedicine consultation with Dr Pautler, please send email request to spautler@rvaf.com. We accept Medicare and most insurances in Florida. Please include contact information (including phone number) in the email. We are unable to provide consultation for those living outside the state of Florida with the exception of limited one-time consultations with residents of the following states: Alabama, Arkansas, Connecticut, Georgia, Minnesota, and Washington.
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