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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: 74200000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 79200000
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amn_chto1_080514_02.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 727Photos shows gray area nasal to the fovea00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 72300000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 67800000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 71600000
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amn_chto1_080514_06.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 765SD 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: 865SD 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: 919SD 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: 837SD 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: 1006SD 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: 1060SD 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: 811SD 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: 63700000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 632IR 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: 672FAF is normal00000
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amn_chto1_080514_16.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 634FAF is normal00000
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amn_chto1_080514_17.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 629Fluorescein Angiogram is normal00000
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amn_chto1_080514_18.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 649Fluorescein Angiogram is normal00000
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amn_chto1_080514_19.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 711Fluorescein Angiogram is normal00000
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amn_chto1_080514_20.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 673Fluorescein Angiogram is normal00000
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amn_chto1_080514_21.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 648Fluorescein Angiogram is normal00000
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amn_chto1_080514_22.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 626Fluorescein Angiogram is normal00000
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amn_chto1_080514_23.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 587Fluorescein Angiogram is normal00000
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amn_chto1_080514_24.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 562Fluorescein Angiogram is normal00000
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amn_chto1_080514_25.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 592Fluorescein Angiogram is normal00000
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amn_chto1_080514_26.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 61300000
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amn_chto1_080514_27.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 706ICG angiogram is normal00000
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amn_chto1_080514_28.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 734ICG angiogram is normal00000
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amn_chto1_080514_29.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 771ICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 714ICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 699ICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 757ICG angiogram is normal00000
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amn_chto1_080514_33.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 736ICG angiogram is normal00000
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amn_chto1_080514_34.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 70700000
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amn_chto2_091614_35.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 73900000
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amn_chto2_091614_36.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevaatamisi: 616Vision 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: 7564 months later spot is nearly gone and vision is back to normal (almost) - 20/2000000
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AMN 3 years latervaatamisi: 629She still sees the blind spot one she looks for it. 00000
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AMN 3 years latervaatamisi: 597She still sees the blind spot one she looks for it. 00000
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Acute Macular Neuroretinopathy - 40 year old femalevaatamisi: 73800000
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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.