Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chief complaint of [blurred vision/floaters/photopsia]. Onset: [acute/insidious]. Duration: [days/weeks]. Associated symptoms: [pain/redness/none]. Denies history of ocular trauma or recent surgery. Systemic review: [positive/negative] for joint pain, skin rashes, or respiratory symptoms.
Clinical Examination Findings
BCVA: [OD/OS]. IOP: [mmHg]. Slit lamp: Quiet anterior chamber, no cells or flare. Dilated fundus exam: Vitreous haze [grade 0-4+], presence of [chorioretinal lesions/retinal vasculitis/disc edema]. Macula: [flat/edematous]. Peripheral retina: [intact/lesions noted].
Treatment Protocol
Initiate topical/systemic corticosteroids as indicated. Consider [periocular/intravitreal] injection. If infectious etiology suspected, initiate [antiviral/antibiotic/antiparasitic] therapy. Follow-up scheduled for [days/weeks] to monitor response to therapy and IOP.