A Par 3 Macular Hole? (PDF)

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Identifier walsh_2020_s3_c1-pdf
Title A Par 3 Macular Hole? (PDF)
Creator Archana Srinivasan, Jerald Gong, Mark Moster
Subject Progressive Multifocal Leukoencephalopathy, Vision Loss Binocular, Immunodeficiency, Vasculitides, JC Virus
Description A 78-year old woman with 3-week history of sudden onset "visual blur" OU and difficulty reading was evaluated by her ophthalmologist and suspected to have macular hole secondary to posterior vitreous detachment and vitreomacular traction (VMT). Her past medical history was significant for hypertension, hyperlipidemia, depression and carcinoid tumor of the appendix. She consulted a retina specialist who confirmed bilateral VMT and advised follow up with regular ophthalmologist. Her visual acuity at presentation was 20/60 OD and 20/50 OS. She returned 2 weeks later with worsening vision loss and no change in retinal findings, at which point she was referred for neuro-ophthalmic consultation. At her first neuro-ophthalmology visit, vision was count fingers close to face OD and hand motion OS. Pupils were sluggish with no afferent pupillary defect. Dilated fundus exam revealed normal optic discs, epiretinal membrane and VMT OU. On further questioning, she reported being treated with prednisone for the past year by rheumatology for a "presumed vasculitis" after she had symptoms of fever, weight loss, rash, lower extremity edema, lack of energy and skin nodules. She denied headache, jaw claudication and scalp tenderness.
Date 2020-03
Language eng
Format application/pdf
Source 2020 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2020: Frank B. Walsh Session 3
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2020. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6p61096
Contributor Primary Archana Srinivasan
Contributor Secondary Jerald Gong, Mark Moster
Setname ehsl_novel_fbw
ID 1546638
Reference URL https://collections.lib.utah.edu/ark:/87278/s6p61096
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