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Les plus populaires - Acute Macular Neuroretinopathy - 40 year old female

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 Femalevu 838 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_11.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 811 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_08.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 712 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_09.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 696 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_07.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 681 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_29.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 656 foisICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 652 fois
amn_chto2_091614_37.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 643 fois4 months later spot is nearly gone and vision is back to normal (almost) - 20/20
amn_chto1_080514_12.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 641 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_02.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 629 foisPhotos shows gray area nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 624 fois
amn_chto1_080514_06.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 624 foisSD OCT shows disruption of the outer retina nasal to the fovea
amn_chto1_080514_32.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 623 foisICG angiogram is normal
amn_chto1_080514_33.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 615 foisICG angiogram is normal
amn_chto2_091614_35.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 612 fois
amn_chto1_080514_28.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 604 foisICG angiogram is normal
amn_chto1_080514_30.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 604 foisICG angiogram is normal
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Acute Macular Neuroretinopathy - 40 year old femalevu 589 fois
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 582 fois
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 581 fois
amn_chto1_080514_19.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 579 foisFluorescein Angiogram is normal
amn_chto1_080514_27.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 578 foisICG angiogram is normal
amn_chto1_080514_03.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 575 fois
amn_chto1_080514_31.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 552 foisICG angiogram is normal
amn_chto1_080514_18.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 544 foisFluorescein Angiogram is normal
amn_chto1_080514_15.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 539 foisFAF is normal
amn_chto1_080514_04.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 538 fois
amn_chto1_080514_20.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 535 foisFluorescein Angiogram is normal
amn_chto1_080514_16.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 530 foisFAF is normal
amn_chto1_080514_14.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 518 foisIR shows gray spot nasal to the fovea
amn_chto1_080514_17.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 510 foisFluorescein Angiogram is normal
amn_3yearlaterOS-ir.jpg
AMN 3 years latervu 508 foisShe still sees the blind spot one she looks for it.
amn_chto1_080514_13.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 505 fois
amn_chto2_091614_36.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 504 foisVision improved 1 month later
amn_chto1_080514_22.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 502 foisFluorescein Angiogram is normal
amn_chto1_080514_21.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 499 foisFluorescein Angiogram is normal
amn_chto1_080514_23.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 499 foisFluorescein Angiogram is normal
amn_chto1_080514_26.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 488 fois
amn_chto1_080514_25.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 468 foisFluorescein Angiogram is normal
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AMN 3 years latervu 460 foisShe still sees the blind spot one she looks for it.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevu 456 foisFluorescein Angiogram is normal
     
41 photos sur 1 page(s)

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.