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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 Femalevista 742 veces00000
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amn_chto1_080514_01.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 792 veces00000
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amn_chto1_080514_02.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 727 vecesPhotos shows gray area nasal to the fovea00000
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amn_chto1_080514_03.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 723 veces00000
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amn_chto1_080514_04.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 679 veces00000
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amn_chto1_080514_05.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 716 veces00000
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amn_chto1_080514_06.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 766 vecesSD 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 Femalevista 868 vecesSD 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 Femalevista 920 vecesSD 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 Femalevista 837 vecesSD 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 Femalevista 1007 vecesSD 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 Femalevista 1060 vecesSD 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 Femalevista 811 vecesSD 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 Femalevista 638 veces00000
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amn_chto1_080514_14.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 632 vecesIR 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 Femalevista 672 vecesFAF is normal00000
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amn_chto1_080514_16.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 634 vecesFAF is normal00000
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amn_chto1_080514_17.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 630 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_18.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 649 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_19.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 711 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_20.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 674 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_21.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 649 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_22.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 626 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_23.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 588 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_24.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 562 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_25.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 592 vecesFluorescein Angiogram is normal00000
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amn_chto1_080514_26.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 613 veces00000
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amn_chto1_080514_27.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 706 vecesICG angiogram is normal00000
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amn_chto1_080514_28.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 734 vecesICG angiogram is normal00000
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amn_chto1_080514_29.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 771 vecesICG angiogram is normal00000
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amn_chto1_080514_30.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 714 vecesICG angiogram is normal00000
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amn_chto1_080514_31.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 699 vecesICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 757 vecesICG angiogram is normal00000
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amn_chto1_080514_33.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 736 vecesICG angiogram is normal00000
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amn_chto1_080514_34.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 707 veces00000
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amn_chto2_091614_35.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 740 veces00000
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amn_chto2_091614_36.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 618 vecesVision improved 1 month later00000
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amn_chto2_091614_37.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 756 veces4 months later spot is nearly gone and vision is back to normal (almost) - 20/2000000
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amn_3yearlaterOS-ir.jpg
AMN 3 years latervista 629 vecesShe still sees the blind spot one she looks for it. 00000
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amn_3yearlaterOS.jpg
AMN 3 years latervista 597 vecesShe still sees the blind spot one she looks for it. 00000
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Acute Macular Neuroretinopathy - 40 year old femalevista 738 veces00000
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41 archivos en 1 página(s)

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.