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Most viewed - Acute Macular Neuroretinopathy - 40 year old female

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 Female1062 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female1010 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female921 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female868 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female839 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female811 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female794 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female771 viewsICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female769 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female759 viewsICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female757 views4 months later spot is nearly gone and vision is back to normal (almost) - 20/20
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female745 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female743 views
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Acute Macular Neuroretinopathy - 40 year old female740 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female736 viewsICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female734 viewsICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female729 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female728 viewsPhotos shows gray area nasal to the fovea
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female719 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female715 viewsICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female712 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female708 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female707 viewsICG angiogram is normal
amn_chto1_080514_31.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female702 viewsICG angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female683 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female675 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female673 viewsFAF is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female650 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female649 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female638 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female634 viewsFAF is normal
amn_chto1_080514_17.jpg
Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female633 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female632 viewsIR shows gray spot nasal to the fovea
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AMN 3 years later630 viewsShe still sees the blind spot one she looks for it.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female628 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female619 viewsVision improved 1 month later
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female613 views
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AMN 3 years later597 viewsShe still sees the blind spot one she looks for it.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female592 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female589 viewsFluorescein Angiogram is normal
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female563 viewsFluorescein Angiogram is normal
     
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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.