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AION Acute - evidence of old ischemia in fellow eye


67 y.o Female Spot in central vision in left eye started about 1 week ago since then it is not changing. Prior to that the vision was good in the left eye. Vision was the same in the two eyes. Patient had a few little floaters recently. She had ECCE 4-5 years ago and got the crystal lens (expensive lenses). She's dissappointed that the vision is acting up now in one eye. Just moved from Del Ray Beach. She denies headache, jaw claudications, fevers, malaise. No pain behind eyes and no pain on eye movement. Allergies: NKDA. Smoking Status: Never Smoker. Medical Hx: Hypercholesterolemia. Thyroid Disease. Surgical Hx: Hysterectomy. lung sx x2 benign cysts. VA OD: sc20/25 NscJ5 OS: sc20/200 PHNI Nsc20/800 IOP: TP OD: 14 OS: 13

AION_chfr_acuteOS_01.jpg
 Acute AION OS - Mild disc pallor OD704 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_02.jpg
 Acute AION OS - Mild disc pallor OD646 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_03.jpg
 Acute AION OS - Mild disc pallor OD564 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_04.jpg
 Acute AION OS - Mild disc pallor OD652 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_05.JPG
 Acute AION OS - Mild disc pallor OD540 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_06.jpg
 Acute AION OS - Mild disc pallor OD525 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_07.jpg
 Acute AION OS - Mild disc pallor OD496 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_08.jpg
 Acute AION OS - Mild disc pallor OD571 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_09.jpg
 Acute AION OS - Mild disc pallor OD512 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_10.jpg
 Acute AION OS - Mild disc pallor OD467 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_11.jpg
 Acute AION OS - Mild disc pallor OD484 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_12.jpg
 Acute AION OS - Mild disc pallor OD566 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_13.jpg
 Acute AION OS - Mild disc pallor OD498 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_14.jpg
 Acute AION OS - Mild disc pallor OD544 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_15.jpg
 Acute AION OS - Mild disc pallor OD493 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_16.jpg
 Acute AION OS - Mild disc pallor OD505 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_17.jpg
 Acute AION OS - Mild disc pallor OD515 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_18.jpg
 Acute AION OS - Mild disc pallor OD575 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye. 00000
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AION_chfr_acuteOS_19.JPG
 Acute AION OS - Mild disc pallor OD - macular scan shows increasing atrophy in left eye559 views00000
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AION_chfr_acuteOS_20.JPG
 AION - Acute with Follow UP RNFL scan shows edema then atrophy553 views00000
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AION_chfr_acuteOS_21.JPG
 Acute AION OS - Follow-up RNFL scan569 views00000
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67 y.o Female Spot in central vision in left eye started about 1 week ago since then it is not changing. Prior to that the vision was good in the left eye. Vision was the same in the two eyes. Patient had a few little floaters recently. She had ECCE 4-5 years ago and got the crystal lens (expensive lenses). She's dissappointed that the vision is acting up now in one eye. Just moved from Del Ray Beach. She denies headache, jaw claudications, fevers, malaise. No pain behind eyes and no pain on eye movement. Allergies: NKDA. Smoking Status: Never Smoker. Medical Hx: Hypercholesterolemia. Thyroid Disease. Surgical Hx: Hysterectomy. lung sx x2 benign cysts. VA OD: sc20/25 NscJ5 OS: sc20/200 PHNI Nsc20/800 IOP: TP OD: 14 OS: 13