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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 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_35.jpg
Syphillitic Optic Neuropathy and Maculopathy70 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 Maculopathy94 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 Maculopathy76 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 Maculopathy69 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 Maculopathy96 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 Maculopathy63 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 Maculopathy64 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 Maculopathy62 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 Maculopathy92 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 Maculopathy54 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 Maculopathy64 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 Maculopathy91 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 Maculopathy67 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 Maculopathy93 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 Maculopathy68 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 Maculopathy55 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 Maculopathy66 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 Maculopathy55 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 Maculopathy76 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 Maculopathy74 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 Maculopathy65 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 Maculopathy65 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 Maculopathy73 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 Maculopathy63 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 Maculopathy61 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 Maculopathy61 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 Maculopathy69 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 Maculopathy66 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 Maculopathy62 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 Maculopathy59 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 Maculopathy84 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 Maculopathy63 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 Maculopathy75 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 Maculopathy70 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 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
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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.