A 48-year-old HIV+ female presented with one month of gradual photophobia, tearing, and eye pain in both eyes. Anti-retroviral therapy (ART) was started one year ago when her CD4 count was <50. After starting ART, her CD4 count has been above 250. She was doing well until one month ago when she complained of increasing redness and eye pain in both eyes. Physical examination There were no complaints of fevers, chills, joint pains or shortness of breath.
Eye examination Best corrected visual acuities: 20/50 OD and 20/40 OS Pupils: Irregularly shaped (see photo), reactive, no RAPD IOP: Normal EOM: Full OU VF: Normal DFE: retina exam notable for normal macula, vessels, and periphery OU. No vitreous cells. SLE: Notable for marked conjunctival injection OU (image attached), ciliary flush OU, 2+ cell/flare OU, and large keratic precipitates (KP) on the corneal endothelium OU. There was central…
