The patient became cushingoid due to steroid use. Because of the indeterminate pathological findings, the improvement in the  patient’s clinical condition, and the possibility that MEWDS or a related condition was the cause of uveitis, oral steroid treatment  was tapered and the patient was followed-up for recurrent inflammation.

 4 WEEKS AFTER STOPPING PREDNISONE: Areas of RPE depigmentation were noted in the inferotemporal midperiphery.

Color photograph demonstrating areas of RPE depigmentation and perivascular sheathing of large choroidal vessels in the mid periphery of the left fundus (April 12, 2002).

 6 WEEKS AFTER STOPPING PREDNISONE: Once again, the patient reported decreased vision. Examination was
 notable for the following:

• Visual acuity of 20/20- OS,
• 1-2+ anterior chamber cell and flare,
• 1+ vitreous cell, and
• Swelling of the optic nerve head.
• A repeat fluorescein angiogram showed areas of blocked choroidal fluorescence early, but not to the extent that had been seen before, and late leakage. Mild leakage from the optic nerve head was present. Periphlebitis was evident for the first time.

Late phase fluorescein angiogram demonstrating dye leakage associated with periphlebitis in the left eye (April 23, 2002).

• A repeat visual field revealed a normal-size blind spot.