The patient received a subtenon steroid injection and oral prednisone
(60 mg). He was admitted the following morning to receive intravenous methylprednisolone,
1 g daily. Azathioprine, 150 mg daily, was also started. Three days later,
there was considerable vitreous clearing and subretinal fluid resolution.
Hemorrhagic vasculitis was more visible (Figure 2). Indocyanine green angiography findings were normal. Human
leukocyte antigen testing was positive for HLA B51 antigen. Findings from
chest radiography, PPD (purified protein derivative), fluorescent titer antibody-antibody
screen, angiotensin-converting enzyme, complete blood cell count, chemistry
panel, and urinalysis were normal. Prescriptions at discharge included prednisone,
60 mg daily, and azathioprine, 150 mg daily. Panuveitis without ERD recurred
in the right eye 4 months later owing to noncompliance with administration
of medication. Resumption of medications controlled the recurrence. No additional
ocular recurrences developed. Prednisone was slowly tapered to 10 mg, azathioprine
was increased to 200 mg, and cochicine, alendronate sodium, and calcium were
added. Twenty-three months later, visual acuity was 20/400 OD and 20/30 OS.
Foveal retinal pigment epithelial clumping was present more prominently in
the right eye. There were no residual exudates.