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 Maculopathyvista 593 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 541 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 489 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 479 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 530 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 473 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 457 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 441 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 434 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 442 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 489 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 436 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 418 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 415 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 483 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 424 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 455 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 422 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 430 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 395 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 495 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 496 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 423 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 487 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 450 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 450 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 461 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 450 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 467 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 491 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 520 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 511 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 477 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 478 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 476 veces46 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 votos)
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Syphillitic Optic Neuropathy and Maculopathyvista 537 veces46 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 votos)
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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.
