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 Maculopathy663 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 Maculopathy612 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 Maculopathy570 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 Maculopathy549 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 Maculopathy613 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 Maculopathy561 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 Maculopathy532 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 Maculopathy534 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 Maculopathy523 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 Maculopathy560 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 Maculopathy499 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 Maculopathy504 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 Maculopathy487 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 Maculopathy550 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 Maculopathy502 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 Maculopathy517 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 Maculopathy482 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 Maculopathy494 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 Maculopathy432 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 Maculopathy556 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 Maculopathy576 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 Maculopathy488 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 Maculopathy527 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 Maculopathy507 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 Maculopathy553 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 Maculopathy538 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 Maculopathy526 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 Maculopathy530 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 Maculopathy552 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 Maculopathy592 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 Maculopathy581 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 Maculopathy571 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 Maculopathy557 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 Maculopathy543 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 Maculopathy610 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.
