case_images: PMC3605086_01
case_images: Dilated fundus examination showing punctate choroidal lesions throughout the fundus in both eyes. There is also subretinal hemorrhage seen in the left eye.
case_images: 1869-5760-3-26-1.jpg
case_images: PMC3605086_01_1869-5760-3-26-1.jpg
case_images: F1
case_images: Ophthalmoscopic examination of both eyes showed vitreous cells, optic disc edema, small amounts of subretinal hemorrhage, and punctate choroidal lesions throughout the fundus (Figure 1). 
case_images: A fundus fluorescein angiogram. Early blockage in areas of blood, staining in the location of the choroidal lesions without much leakage, and optic nerve hyperfluorescence bilaterally are shown.
case_images: 1869-5760-3-26-2.jpg
case_images: PMC3605086_01_1869-5760-3-26-2.jpg
case_images: F2
case_images: Choroidal biopsy reveals noncaseating granulomatous inflammation. H & E-stained slides demonstrate diffuse inflammation expanding fragments of choroid, x40 (A). x200 magnification reveals dense infiltration of benign-appearing lymphocytes surrounding histiocytic clusters (B) which, at higher power (x400), are well circumscribed (C) and contain rare multinucleated giant cells, x600 (D).
case_images: 1869-5760-3-26-3.jpg
case_images: PMC3605086_01_1869-5760-3-26-3.jpg
case_images: F3
case_images: Microscopic examination revealed a small fragment of uveal tissue expanded by inflammation (Figure 3A) comprised of densely infiltrative, benign-appearing lymphocytes surrounding noncaseating histiocyte clusters (Figure 3B) that are well circumscribed (Figure 3C) and contain occasional multinucleated giant cells (Figure 3D) indicative of granulomatous inflammation.