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Last additions - Syphilis - optic neuropathy and placoid maculopathy

46 year old woman with black shadow over sight in the right eye starting about 2.5 weeks ago. The left eye is OK. The vision in the right eye is not any better or worse than it was when it started. There is no pain in the eyes. There is no pain on eye movement. She has dizziness once in a while with medication that she takes for bipolar. She has no history of focal neurological changes. She has 4 adult cats that live outside for the most part. She has had them for years. She inherited her mother's cats when her mother passed away. She had a severe rash from a medication for bipolar depression starting before Halloween. She has had no fevers or problems lately. She has no headaches. •VA OD: Dcc20/200-2 Ncc20/800+1 ; RPR tirer was 1:128 and RPR qual wias reactive. She also had IgG but not IgM for bartonella. Treponema was 15.33. Her WBC was normal. •VA OS: Dcc20/20-2 NccJ3 The optic discs are both swollen and the FAF and ICG show a placoid maculopathy in the right eye. The OCT scans both show posterior vitreous cells.

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Syphillitic Optic Neuropathy and Maculopathy181 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_35.jpg
Syphillitic Optic Neuropathy and Maculopathy108 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_34.jpg
Syphillitic Optic Neuropathy and Maculopathy139 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_33.jpg
Syphillitic Optic Neuropathy and Maculopathy126 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_32.jpg
Syphillitic Optic Neuropathy and Maculopathy152 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_31.jpg
Syphillitic Optic Neuropathy and Maculopathy141 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_30.jpg
Syphillitic Optic Neuropathy and Maculopathy100 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_29.jpg
Syphillitic Optic Neuropathy and Maculopathy102 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_28.jpg
Syphillitic Optic Neuropathy and Maculopathy128 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_27.jpg
Syphillitic Optic Neuropathy and Maculopathy166 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_26.jpg
Syphillitic Optic Neuropathy and Maculopathy137 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_25.jpg
Syphillitic Optic Neuropathy and Maculopathy116 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_24.jpg
Syphillitic Optic Neuropathy and Maculopathy151 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_23.jpg
Syphillitic Optic Neuropathy and Maculopathy116 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_22.jpg
Syphillitic Optic Neuropathy and Maculopathy154 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_21.jpg
Syphillitic Optic Neuropathy and Maculopathy154 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_20.jpg
Syphillitic Optic Neuropathy and Maculopathy95 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_19.jpg
Syphillitic Optic Neuropathy and Maculopathy105 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_18.jpg
Syphillitic Optic Neuropathy and Maculopathy97 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_17.jpg
Syphillitic Optic Neuropathy and Maculopathy115 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_16.jpg
Syphillitic Optic Neuropathy and Maculopathy113 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_15.jpg
Syphillitic Optic Neuropathy and Maculopathy173 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_14.JPG
Syphillitic Optic Neuropathy and Maculopathy107 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_13.jpg
Syphillitic Optic Neuropathy and Maculopathy115 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_12.jpg
Syphillitic Optic Neuropathy and Maculopathy105 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_11.jpg
Syphillitic Optic Neuropathy and Maculopathy154 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_10.jpg
Syphillitic Optic Neuropathy and Maculopathy102 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_09.jpg
Syphillitic Optic Neuropathy and Maculopathy105 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_08.jpg
Syphillitic Optic Neuropathy and Maculopathy107 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_07.png
Syphillitic Optic Neuropathy and Maculopathy108 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_06.png
Syphillitic Optic Neuropathy and Maculopathy147 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_05.png
Syphillitic Optic Neuropathy and Maculopathy160 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_04.png
Syphillitic Optic Neuropathy and Maculopathy154 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_03.png
Syphillitic Optic Neuropathy and Maculopathy157 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_02.png
Syphillitic Optic Neuropathy and Maculopathy163 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
syph_ON_stst1_031116_01.png
Syphillitic Optic Neuropathy and Maculopathy205 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.Apr 18, 2016
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46 year old woman with black shadow over sight in the right eye starting about 2.5 weeks ago. The left eye is OK. The vision in the right eye is not any better or worse than it was when it started. There is no pain in the eyes. There is no pain on eye movement. She has dizziness once in a while with medication that she takes for bipolar. She has no history of focal neurological changes. She has 4 adult cats that live outside for the most part. She has had them for years. She inherited her mother's cats when her mother passed away. She had a severe rash from a medication for bipolar depression starting before Halloween. She has had no fevers or problems lately. She has no headaches. •VA OD: Dcc20/200-2 Ncc20/800+1 ; RPR tirer was 1:128 and RPR qual wias reactive. She also had IgG but not IgM for bartonella. Treponema was 15.33. Her WBC was normal. •VA OS: Dcc20/20-2 NccJ3 The optic discs are both swollen and the FAF and ICG show a placoid maculopathy in the right eye. The OCT scans both show posterior vitreous cells.