case_images: PMC10882149_01
case_images: Keratic precipitates on the central corneal endothelium
case_images: cureus-0016-00000052756-i01.jpg
case_images: PMC10882149_01_cureus-0016-00000052756-i01.jpg
case_images: FIG1
case_images: The left eye showed mild conjunctival injection, granulomatous keratic precipitates on the central corneal endothelium (Figure 1), and the presence of anterior chamber cells 4+ with an intraocular pressure of 16 mmHg.
case_images: Classic "headlight in the fog" chorioretinitis (green arrow) was seen superior to the hyperaemic swollen optic disc during the presentation
case_images: cureus-0016-00000052756-i02.jpg
case_images: PMC10882149_01_cureus-0016-00000052756-i02.jpg
case_images: FIG2
case_images: Left fundus examinations noted a classic posterior segment finding of "headlight in the fog" focal chorioretinitis measuring 1 disc diameter (DD) size located 1 DD away from the optic disc superiorly (Figure 2).
case_images: Fundus examination at presentation showed multiple punctate choroiditis (red arrows) with retinal vasculitis (green arrows) at the far periphery of the inferior retinal
case_images: cureus-0016-00000052756-i03.jpg
case_images: PMC10882149_01_cureus-0016-00000052756-i03.jpg
case_images: FIG3
case_images: There was no perivascular sheathing adjacent to the retinitis area, however, there was vasculitis in all four quadrants in the far peripheral retina (Figure 3).
case_images: (A): Pre-treatment. (B): Following treatment, the previously seen vitritis in (A) was completely resolved while the focal chorioretinitis lesion became more well-defined
case_images: cureus-0016-00000052756-i04.jpg
case_images: PMC10882149_01_cureus-0016-00000052756-i04.jpg
case_images: FIG4
case_images: In the fourth week of treatment, left focal retinitis became more well-defined and vitritis was resolved (Figure 4B).
case_images: (A): Pre-treatment. (B): Multiple punctate inferior choroiditis were resolved and resolving peripheral vasculitis along with Kyrieleis plaques (green arrows) were observed during the treatment (B)
case_images: cureus-0016-00000052756-i05.jpg
case_images: PMC10882149_01_cureus-0016-00000052756-i05.jpg
case_images: FIG5
case_images: The remote peripheral vasculitis and multiple inferior punctate choroiditis were resolved but the presence of Kyrieleis plaques was noted during the fourth week of follow-up (Figure 5B).