History A 30-year-old man of Japanese descent presented to the emergency department with a two-day history of bilateral red eyes with visual impairment. Over the past year, he has had recurrent fever, weight loss, right knee pain, recurrent oral ulcers, and genital ulcers over the scrotum. However, earlier investigations did not yield a uniform diagnosis. He has no sexual history. He has been treated with warfarin three times due to deep vein thrombosis. Examination There is a watery discharge from his eyes, with evidence of ciliary and conjunctival injection.
The pupils are small and irregular in shape and size, with evidence of synechiae. The pupils react to light sluggishly. Ophthalmoscopy is not possible owing to discomfort in bright light. He has a visual acuity of 6/9 bilaterally. There is no evidence of lymphadenopathy, but multiple aphthous ulcers are in the oral cavity. There…
