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Sudden vision loss in the left eye in a 40 year old female. No prodromal symptoms. Vision was 20/50 left eye. She noticed that at first the vision was good but there was a moving spot in the vision in the left eye. She cleaned her glasses and took them off. She thought maybe the vision was off because of the glasses. Then the vision change persisted. When she closed the right eye there was a true blind spot that she could not see throught that was up and to the left (superotemporal) at first. Then eventually it moved so it is closer to the central vision and the spot has not gone away. She went to the ER on Saturday with the non-clearing blind spot and they did not do a brain scan. The patient also has Lupus for which she takes Plaquenil for about 3 years. She had a full workup yesterday with her ophthalmologist. There was concern about something neurological. Her Optometrist thougth she should come in for a checkup. PMHx: Systemic Lupus Erythematosus. Migraine. Hypertension, Systemic. SYSTEMIC MEDS: plaquenil. topomax. lisinopril 40mg. hydroxyzine HCL 25MG PRN. ZORVOLEX 35 MG PRN. ZOFREN 8 MG. NAPROXEN PRN 550MG. TRAMADOL HCL PRN 50 MG. GABAPENTIN PRN 600MG. TIZANIDINE 4 MG AT BEDTIME. Vit D2 1.25 MG. INDOMETHACIN 25 MG PRN. PRILOSEC ONCE A DAY 20 MG. RELPAX 40 MG. Propranolol Hydrochloride, 40 mg oral tablet. topiramate 100mg. hydroxychloroquine sulfate 200 MG (hydroxychloroquine 155 MG) Oral Tablet. Cymbalta 30 MG Enteric Coated Capsule.

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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 71200000
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amn_chto1_080514_01.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 75200000
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amn_chto1_080514_02.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 698Photos shows gray area nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 68400000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 64300000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 68500000
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amn_chto1_080514_06.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 725SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_07.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 828SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_08.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 884SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_09.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 810SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_10.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 973SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_11.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 1019SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_12.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 773SD OCT shows disruption of the outer retina nasal to the fovea00000
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amn_chto1_080514_13.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 61000000
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amn_chto1_080514_14.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 602IR shows gray spot nasal to the fovea00000
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amn_chto1_080514_15.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 633FAF is normal00000
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amn_chto1_080514_16.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 603FAF is normal00000
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amn_chto1_080514_17.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 598Fluorescein Angiogram is normal00000
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amn_chto1_080514_18.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 620Fluorescein Angiogram is normal00000
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amn_chto1_080514_19.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 679Fluorescein Angiogram is normal00000
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amn_chto1_080514_20.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 639Fluorescein Angiogram is normal00000
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amn_chto1_080514_21.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 614Fluorescein Angiogram is normal00000
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amn_chto1_080514_22.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 592Fluorescein Angiogram is normal00000
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amn_chto1_080514_23.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 562Fluorescein Angiogram is normal00000
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amn_chto1_080514_24.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 531Fluorescein Angiogram is normal00000
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amn_chto1_080514_25.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 565Fluorescein Angiogram is normal00000
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amn_chto1_080514_26.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 58400000
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amn_chto1_080514_27.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 677ICG angiogram is normal00000
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amn_chto1_080514_28.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 702ICG angiogram is normal00000
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amn_chto1_080514_29.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 752ICG angiogram is normal00000
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amn_chto1_080514_30.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 685ICG angiogram is normal00000
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amn_chto1_080514_31.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 670ICG angiogram is normal00000
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amn_chto1_080514_32.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 732ICG angiogram is normal00000
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amn_chto1_080514_33.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 709ICG angiogram is normal00000
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amn_chto1_080514_34.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 68000000
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amn_chto2_091614_35.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 70400000
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amn_chto2_091614_36.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 591Vision improved 1 month later00000
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amn_chto2_091614_37.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 7254 months later spot is nearly gone and vision is back to normal (almost) - 20/2000000
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AMN 3 years latervaatamisi: 593She still sees the blind spot one she looks for it. 00000
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AMN 3 years latervaatamisi: 562She still sees the blind spot one she looks for it. 00000
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Acute Macular Neuroretinopathy - 40 year old femalevaatamisi: 70300000
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41 faili 1 lehel

Sudden vision loss in the left eye in a 40 year old female. No prodromal symptoms. Vision was 20/50 left eye. She noticed that at first the vision was good but there was a moving spot in the vision in the left eye. She cleaned her glasses and took them off. She thought maybe the vision was off because of the glasses. Then the vision change persisted. When she closed the right eye there was a true blind spot that she could not see throught that was up and to the left (superotemporal) at first. Then eventually it moved so it is closer to the central vision and the spot has not gone away. She went to the ER on Saturday with the non-clearing blind spot and they did not do a brain scan. The patient also has Lupus for which she takes Plaquenil for about 3 years. She had a full workup yesterday with her ophthalmologist. There was concern about something neurological. Her Optometrist thougth she should come in for a checkup. PMHx: Systemic Lupus Erythematosus. Migraine. Hypertension, Systemic. SYSTEMIC MEDS: plaquenil. topomax. lisinopril 40mg. hydroxyzine HCL 25MG PRN. ZORVOLEX 35 MG PRN. ZOFREN 8 MG. NAPROXEN PRN 550MG. TRAMADOL HCL PRN 50 MG. GABAPENTIN PRN 600MG. TIZANIDINE 4 MG AT BEDTIME. Vit D2 1.25 MG. INDOMETHACIN 25 MG PRN. PRILOSEC ONCE A DAY 20 MG. RELPAX 40 MG. Propranolol Hydrochloride, 40 mg oral tablet. topiramate 100mg. hydroxychloroquine sulfate 200 MG (hydroxychloroquine 155 MG) Oral Tablet. Cymbalta 30 MG Enteric Coated Capsule.