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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.
syph_ON_stst1_031116_01.png
 Syphillitic Optic Neuropathy and Maculopathyvu 610 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_02.png
 Syphillitic Optic Neuropathy and Maculopathyvu 566 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_03.png
 Syphillitic Optic Neuropathy and Maculopathyvu 512 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_04.png
 Syphillitic Optic Neuropathy and Maculopathyvu 508 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_05.png
 Syphillitic Optic Neuropathy and Maculopathyvu 567 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_06.png
 Syphillitic Optic Neuropathy and Maculopathyvu 510 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_07.png
 Syphillitic Optic Neuropathy and Maculopathyvu 489 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_08.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 471 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_09.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 460 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_10.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 465 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_11.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 510 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_12.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 457 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_13.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 441 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_14.JPG
 Syphillitic Optic Neuropathy and Maculopathyvu 441 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_15.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 505 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_16.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 446 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_17.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 472 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_18.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 446 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_19.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 446 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_20.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 404 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_21.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 517 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_22.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 521 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_23.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 443 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_24.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 501 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_25.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 465 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_26.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 473 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_27.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 491 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_28.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 472 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_29.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 489 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_30.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 507 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_31.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 540 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_32.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 542 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_33.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 502 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_34.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 502 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_35.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 492 fois46 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.00000
(0 votes)
syph_ON_stst1_031116_36.jpg
 Syphillitic Optic Neuropathy and Maculopathyvu 562 fois46 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.00000
(0 votes)
36 photos sur 1 page(s)

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.