Last additions - Neuroretinitis - Negative serology Cat Scratch - Positive Behcets 65 year old man : 5 days ago he woke up with blurred vision in the right eye and a headache. He had a history of heart problems for which he was taking an injectable statin drug and he was concerned it might be a side effect of that. The patient then had an eye photograph with his wife's optometrist Dr. Salta who did not find anything wrong. The patient woke up the next morning, Saturday with a headache and numbness down his left arm. He had a lot of tests, MRI of the head and Orbit and CT scan. He saw Dr. Mendelblatt Sunday night at 8:30 PM and did an eye test with portable equipment and could not see much. Monday, 2 days ago, he had no results or problems and the patient was given migraine medicine injections. Then the patient was released from the hospital and saw you yesterday and you suggested that the patient come here. There was a little swelling in the retina and the patient was referred here. He was scheduled for Friday and asked to come in today for a check.He has not been sick in the last few months. He sees a blurred spot in the vision in the right eye which is still there. He has not been exposed to any cats in the last 3 months. His sister had MacTel and it might also run in the family. There was AMD in several of the older relative. He has pain on eye movement. He has had two exposures to cats he owns several rentals and has had one with fleas and one kitten that touched him. He might have felt a little sick after this.
VA OD: sc20/63+2 PH20/32-1 NccJ3-3
VA OS: sc20/25-1 NccJ1+-1
Serology for cat scratch was negative x 2 and his work up was positive for HLA B51 - uveitis specialist felt this was cat scratch and treated with doxycyline. He did get better slowly with near normal vision and anatomy in 2 months (he got worse then better)
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets372 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets374 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets361 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets462 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets385 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets351 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets414 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets434 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets366 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets378 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets353 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets373 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets348 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets376 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets367 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets356 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets398 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets387 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets415 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets455 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets389 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets422 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets377 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets403 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets358 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets371 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets391 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets378 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets393 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets401 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets409 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets383 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets384 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets381 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets399 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets394 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets362 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets456 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 monthsJul 02, 2018
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65 year old man : 5 days ago he woke up with blurred vision in the right eye and a headache. He had a history of heart problems for which he was taking an injectable statin drug and he was concerned it might be a side effect of that. The patient then had an eye photograph with his wife's optometrist Dr. Salta who did not find anything wrong. The patient woke up the next morning, Saturday with a headache and numbness down his left arm. He had a lot of tests, MRI of the head and Orbit and CT scan. He saw Dr. Mendelblatt Sunday night at 8:30 PM and did an eye test with portable equipment and could not see much. Monday, 2 days ago, he had no results or problems and the patient was given migraine medicine injections. Then the patient was released from the hospital and saw you yesterday and you suggested that the patient come here. There was a little swelling in the retina and the patient was referred here. He was scheduled for Friday and asked to come in today for a check.He has not been sick in the last few months. He sees a blurred spot in the vision in the right eye which is still there. He has not been exposed to any cats in the last 3 months. His sister had MacTel and it might also run in the family. There was AMD in several of the older relative. He has pain on eye movement. He has had two exposures to cats he owns several rentals and has had one with fleas and one kitten that touched him. He might have felt a little sick after this.
VA OD: sc20/63+2 PH20/32-1 NccJ3-3
VA OS: sc20/25-1 NccJ1+-1
Serology for cat scratch was negative x 2 and his work up was positive for HLA B51 - uveitis specialist felt this was cat scratch and treated with doxycyline. He did get better slowly with near normal vision and anatomy in 2 months (he got worse then better)