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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 758 veces00000
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amn_chto1_080514_01.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 808 veces00000
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amn_chto1_080514_02.png
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 736 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 739 veces00000
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amn_chto1_080514_04.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 693 veces00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 730 veces00000
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amn_chto1_080514_06.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 780 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 877 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 935 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 849 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 1018 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 1073 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 820 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 648 veces00000
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amn_chto1_080514_14.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 640 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 680 vecesFAF is normal00000
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amn_chto1_080514_16.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 645 vecesFAF is normal00000
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amn_chto1_080514_17.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 644 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 657 vecesFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 723 vecesFluorescein Angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 683 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 658 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 638 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 601 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 572 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 599 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 625 veces00000
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amn_chto1_080514_27.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 719 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 743 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 779 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 724 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 710 vecesICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 771 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 744 vecesICG angiogram is normal00000
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 720 veces00000
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amn_chto2_091614_35.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 756 veces00000
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amn_chto2_091614_36.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Femalevista 632 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 765 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 638 vecesShe still sees the blind spot one she looks for it. 00000
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amn_3yearlaterOS.jpg
AMN 3 years latervista 608 vecesShe still sees the blind spot one she looks for it. 00000
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Acute Macular Neuroretinopathy - 40 year old femalevista 756 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.