Syphilis - optic neuropathy and placoid maculopathy
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46 year old woman with black shadow over sight in the right eye starting about 2.5 weeks ago. The left eye is OK. The vision in the right eye is not any better or worse than it was when it started. There is no pain in the eyes. There is no pain on eye movement. She has dizziness once in a while with medication that she takes for bipolar. She has no history of focal neurological changes. She has 4 adult cats that live outside for the most part. She has had them for years. She inherited her mother's cats when her mother passed away. She had a severe rash from a medication for bipolar depression starting before Halloween. She has had no fevers or problems lately. She has no headaches. •VA OD: Dcc20/200-2 Ncc20/800+1 ; RPR tirer was 1:128 and RPR qual wias reactive. She also had IgG but not IgM for bartonella. Treponema was 15.33. Her WBC was normal.
•VA OS: Dcc20/20-2 NccJ3
The optic discs are both swollen and the FAF and ICG show a placoid maculopathy in the right eye. The OCT scans both show posterior vitreous cells.
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Syphillitic Optic Neuropathy and Maculopathy586 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy524 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy481 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy469 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy522 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy465 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy451 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy437 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy425 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy431 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy481 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy423 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy411 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy410 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy473 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy422 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy452 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy420 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy428 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy393 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy491 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy493 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy421 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy485 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy448 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy448 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy459 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy443 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy458 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy480 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy512 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy501 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy469 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy463 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy461 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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Syphillitic Optic Neuropathy and Maculopathy529 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
(0 votes)
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46 year old woman with black shadow over sight in the right eye starting about 2.5 weeks ago. The left eye is OK. The vision in the right eye is not any better or worse than it was when it started. There is no pain in the eyes. There is no pain on eye movement. She has dizziness once in a while with medication that she takes for bipolar. She has no history of focal neurological changes. She has 4 adult cats that live outside for the most part. She has had them for years. She inherited her mother's cats when her mother passed away. She had a severe rash from a medication for bipolar depression starting before Halloween. She has had no fevers or problems lately. She has no headaches. •VA OD: Dcc20/200-2 Ncc20/800+1 ; RPR tirer was 1:128 and RPR qual wias reactive. She also had IgG but not IgM for bartonella. Treponema was 15.33. Her WBC was normal.
•VA OS: Dcc20/20-2 NccJ3
The optic discs are both swollen and the FAF and ICG show a placoid maculopathy in the right eye. The OCT scans both show posterior vitreous cells.
