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Sudden vision loss in the left eye in a 40 year old female. No prodromal symptoms. Vision was 20/50 left eye. She noticed that at first the vision was good but there was a moving spot in the vision in the left eye. She cleaned her glasses and took them off. She thought maybe the vision was off because of the glasses. Then the vision change persisted. When she closed the right eye there was a true blind spot that she could not see throught that was up and to the left (superotemporal) at first. Then eventually it moved so it is closer to the central vision and the spot has not gone away. She went to the ER on Saturday with the non-clearing blind spot and they did not do a brain scan. The patient also has Lupus for which she takes Plaquenil for about 3 years. She had a full workup yesterday with her ophthalmologist. There was concern about something neurological. Her Optometrist thougth she should come in for a checkup. PMHx: Systemic Lupus Erythematosus. Migraine. Hypertension, Systemic. SYSTEMIC MEDS: plaquenil. topomax. lisinopril 40mg. hydroxyzine HCL 25MG PRN. ZORVOLEX 35 MG PRN. ZOFREN 8 MG. NAPROXEN PRN 550MG. TRAMADOL HCL PRN 50 MG. GABAPENTIN PRN 600MG. TIZANIDINE 4 MG AT BEDTIME. Vit D2 1.25 MG. INDOMETHACIN 25 MG PRN. PRILOSEC ONCE A DAY 20 MG. RELPAX 40 MG. Propranolol Hydrochloride, 40 mg oral tablet. topiramate 100mg. hydroxychloroquine sulfate 200 MG (hydroxychloroquine 155 MG) Oral Tablet. Cymbalta 30 MG Enteric Coated Capsule.

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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female78 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female100 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female97 viewsPhotos shows gray area nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female65 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female60 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female81 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female94 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female61 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female130 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female82 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female77 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female50 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female44 viewsSD OCT shows disruption of the outer retina nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female44 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female27 viewsIR shows gray spot nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female54 viewsFAF is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female55 viewsFAF is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female47 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female55 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female42 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female45 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female24 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female33 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female35 viewsFluorescein Angiogram is normal00000
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amn_chto1_080514_24.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female37 viewsFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female32 viewsFluorescein Angiogram is normal00000
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amn_chto1_080514_26.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female37 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female114 viewsICG angiogram is normal00000
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amn_chto1_080514_28.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female144 viewsICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female153 viewsICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female151 viewsICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female131 viewsICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female152 viewsICG angiogram is normal00000
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amn_chto1_080514_33.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female130 viewsICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female128 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female125 views00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female53 viewsVision improved 1 month later00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female64 views4 months later spot is nearly gone and vision is back to normal (almost) - 20/2000000
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Sudden vision loss in the left eye in a 40 year old female. No prodromal symptoms. Vision was 20/50 left eye. She noticed that at first the vision was good but there was a moving spot in the vision in the left eye. She cleaned her glasses and took them off. She thought maybe the vision was off because of the glasses. Then the vision change persisted. When she closed the right eye there was a true blind spot that she could not see throught that was up and to the left (superotemporal) at first. Then eventually it moved so it is closer to the central vision and the spot has not gone away. She went to the ER on Saturday with the non-clearing blind spot and they did not do a brain scan. The patient also has Lupus for which she takes Plaquenil for about 3 years. She had a full workup yesterday with her ophthalmologist. There was concern about something neurological. Her Optometrist thougth she should come in for a checkup. PMHx: Systemic Lupus Erythematosus. Migraine. Hypertension, Systemic. SYSTEMIC MEDS: plaquenil. topomax. lisinopril 40mg. hydroxyzine HCL 25MG PRN. ZORVOLEX 35 MG PRN. ZOFREN 8 MG. NAPROXEN PRN 550MG. TRAMADOL HCL PRN 50 MG. GABAPENTIN PRN 600MG. TIZANIDINE 4 MG AT BEDTIME. Vit D2 1.25 MG. INDOMETHACIN 25 MG PRN. PRILOSEC ONCE A DAY 20 MG. RELPAX 40 MG. Propranolol Hydrochloride, 40 mg oral tablet. topiramate 100mg. hydroxychloroquine sulfate 200 MG (hydroxychloroquine 155 MG) Oral Tablet. Cymbalta 30 MG Enteric Coated Capsule.