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BRAO with Paracentral Acute Middle Maculopathy (also choroidal nevus)


83 y.o Female The patient just noticed 2 days ago superior visual field loss 2 days ago. It's not changing very much. It seems to come and go. Last night she saw a brief dot of red in the vision. No focal neurological changes. About 3 years ago she had extensive testing because of worry about a stroke that was negative. Former Smoker quit 1978. Medical Hx: Hypertension, Systemic. Hypercholesterolemia. chf. Thyroid Disease. GERD. Myocardial Infarction (MI), Old. Surgical Hx: Heart Stent. heart cath . VA OD: cc20/80+2 PHNI NccJ10 OS: cc20/32-1 PHNI NccJ3 IOP: TPOD: 10OS: 12

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 BRAO and PAMM661 views00000
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 BRAO and PAMM509 views00000
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 BRAO and PAMM556 views00000
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 BRAO and PAMM518 views00000
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 BRAO and PAMM521 views00000
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BRAO_PAMM_mahi_031114_06.png
 Choroidal Nevus508 views00000
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 BRAO and PAMM519 views00000
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 BRAO and PAMM438 views00000
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 BRAO and PAMM470 views00000
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 BRAO and PAMM369 views00000
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 BRAO and PAMM379 views00000
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 BRAO and PAMM487 views00000
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 BRAO and PAMM535 views00000
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 BRAO and PAMM509 views00000
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 BRAO and PAMM576 views00000
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 BRAO and PAMM509 views00000
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 BRAO and PAMM512 views00000
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 BRAO and PAMM915 viewsLayers of retina are thickened showing ischemia to the middle retina (deep retinal capillary plexus)00000
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 BRAO and PAMM566 viewsGray paracentral lesion from BRAO is a PAMM lesion00000
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83 y.o Female The patient just noticed 2 days ago superior visual field loss 2 days ago. It's not changing very much. It seems to come and go. Last night she saw a brief dot of red in the vision. No focal neurological changes. About 3 years ago she had extensive testing because of worry about a stroke that was negative. Former Smoker quit 1978. Medical Hx: Hypertension, Systemic. Hypercholesterolemia. chf. Thyroid Disease. GERD. Myocardial Infarction (MI), Old. Surgical Hx: Heart Stent. heart cath . VA OD: cc20/80+2 PHNI NccJ10 OS: cc20/32-1 PHNI NccJ3 IOP: TPOD: 10OS: 12