PMC3350000_01
(a) Right eye showing a hazy vitreous humor. (b) Left eye showing an intense inflammation of the anterior chamber, with corneal precipitates. (c) Echographic examination of the vitreous in the right eye. (d) UBM examination of the ciliary body showing vitreous membranes adherent to the pars plana. (e) MR image showing a hypointense multifocal lesion occupying much of the right frontal and temporal lobe, the right occipital lobe, and the left parietal lobe.
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A diagnosis of bilateral vitreous hemorrhage was made and she was referred for ultrasonography, which showed severe vitreitis, with intense flare cells and dense membranes (Figures 1(c) and 1(d)). IOP was 35 mmHg RE and 50 mmHg LE, despite topical and systemic antiglaucomatous therapy. In the RE a dense vitreitis hindered fundus examination (Figure 1(a)), and a pale optic nerve was scarcely visible at the fundus examination of the LE. An intense granulomatous inflammation was present in the anterior chamber of the left eye (Figure 1(b)). MRI (Figure 1(e)). MRI of the brain showed a hypointense multifocal lesion occupying much of the right frontal and temporal lobe, the right occipital lobe, and the left parietal lobe.