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posterior uveitis advice needed
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posterior uveitis advice needed

Im 28-year-old male with high myopia (around -7D in both eyes). I've been getting my eyes checked every few years and never had any problems until five months ago -decreased night vision, a bit different color perception and tree resembling scotoma in the very centre of my left eye's visual field along with flu-like symptoms. I rushed to the retina specialist, who found chorioretinal scars in both of of my eyesand an active inflammation in/around (not sure now) left eye's optic disc. She ordered several tests prescribed clarithromycine for 2 weeks. Fluorescein angiography, which i did several days later, showed no active lesions but scars only. In 2 weeks  the symptoms have subsided, but i noticed enlarged blind spots in my vision, especially in the left eye.
I did Mantoux test and it came back positive (20mm), but pulmonologist I'm fine. Blood tests turned out to be positive for toxoplasmosis (240 IgG titer, normal IgM), toxocariasis (15 IgG) and CMV (144 IGG, normal IGM), so i was referred to a hospital (parasitology department), where i was told my scars are typical toxoplasmosis lesions but, again, old and inactive. I underwent brief sulfidiazine/pyrimethamine treatment and was released. In the meantime i started to experience worrisome symptoms - increase of floaters in both eyes and whole array of various photopsiae:
- pulsating zig-zags right where my blind spots are (especially left eye), visible after exposure to daylight, tend to settle down when it's dark
- brief "glitter" or "snow" of bright dots when I come out of darkened place and look at bright surfaces, particularly around blind spots and much more intense in the left eye
- bright dots flickering in peripheral vision of both eyes visible on bright days, sunny rooms, blue sky etc.
- sometimes when i duck or stand up rapidly tiny sparks moving from peripheral to central vision (both eyes)
Also, somtimes my central vision seems to shimmer slightly, like hot air over asphalt road.


2078052_tn?1331936700
I would advise you to go to a major medical center affiliated with a university, and see a uveitis specialist.  Moorfields in London is a great place.  I see no reason why you cannot run or do aerobic exercise, but I agree with the warning about head trauma.
3 Comments
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I've seen numerous eye MDs since the last few months. They all told me that my retina is generally OK, but their diagnoses seem to differ. One told me that apart from scarring my retina is perfectly healthy, other said I have lattice degeneration thus no wonder i see flashes, yet another said that for my level of myopia such degenerative changes are small and negligible. Some of them says that my lesions are typical for toxoplasmosis, some other that their location is unusal for toxo. Even my retina specialist, when i cross-questioned her a bit, admitted that from the look of it, it could as well be tuberculosis or an early stage of toxocariasis (and I'm positive for both!). I feel confused and keep inquiring for more detailed diagnosis, but most of them, including my retina specialist, turn me down saying there's no need, they just say to come and have a check up in a few months.

Am I just being hypochondriac or should I seek treatment elsewhere, including abroad(I'm from Poland)? I'd be grateful for some  information about possible diagnostic procedures, if there are any.
I read somewhere that inflammation scars may cause vitreous traction, could this be the reason of all these flashes?
Can I do sports? Eye MDs i've seen say it's OK for me to run, cycle, even play football (without headers), only to avoid contact sports. But can I run, say, 15 km distances, or should I be careful and avoid excess exercise?
I'm aware there are lots of ins and outs when it comes to diseases like mine, but any general info would be appreciated:)

I uploaded fluorescein angiography picutres on my profile, had no idea how to post them here.

Thanks in advance

Dominik

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Thanks a lot!
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