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Enimvaadatud - 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 Maculopathyvaatamisi: 62146 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.
syph_ON_stst1_031116_02.png
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 58546 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.
syph_ON_stst1_031116_05.png
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 57746 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.
syph_ON_stst1_031116_36.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 57346 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.
syph_ON_stst1_031116_31.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 55546 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.
syph_ON_stst1_031116_32.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 54946 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.
syph_ON_stst1_031116_22.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 54046 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.
syph_ON_stst1_031116_03.png
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 53646 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.
syph_ON_stst1_031116_11.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 53046 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.
syph_ON_stst1_031116_21.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 52746 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.
syph_ON_stst1_031116_06.png
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 52246 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.
syph_ON_stst1_031116_30.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 52046 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.
syph_ON_stst1_031116_04.png
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 51946 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.
syph_ON_stst1_031116_15.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 51646 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.
syph_ON_stst1_031116_34.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 51346 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.
syph_ON_stst1_031116_33.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 51246 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.
syph_ON_stst1_031116_24.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 50546 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.
syph_ON_stst1_031116_29.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 50246 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.
syph_ON_stst1_031116_35.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 50146 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.
syph_ON_stst1_031116_27.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 49946 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.
syph_ON_stst1_031116_07.png
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 49446 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.
syph_ON_stst1_031116_28.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 48946 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.
syph_ON_stst1_031116_26.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 48746 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.
syph_ON_stst1_031116_08.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 48246 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.
syph_ON_stst1_031116_17.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 48146 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.
syph_ON_stst1_031116_09.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 47946 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.
syph_ON_stst1_031116_25.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 47446 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.
syph_ON_stst1_031116_10.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 47246 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.
syph_ON_stst1_031116_12.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 46946 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.
syph_ON_stst1_031116_13.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 46246 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.
syph_ON_stst1_031116_19.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 45846 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.
syph_ON_stst1_031116_16.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 45746 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.
syph_ON_stst1_031116_14.JPG
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 45446 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.
syph_ON_stst1_031116_23.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 45146 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.
syph_ON_stst1_031116_18.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 45046 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.
syph_ON_stst1_031116_20.jpg
 Syphillitic Optic Neuropathy and Maculopathyvaatamisi: 40846 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.
36 faili 1 lehel

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.