| Identifier |
walsh_2015_s3_c1 |
| Title |
Now you see it. Now you don't. |
| Creator |
Prem S. Subramanian |
| Subject |
Vision Loss, Optic Neuropathy, Facial Pain, Transverse Myelitis, Neuromyelitis Optica |
| History |
A 70 yo RH African American female presented to our institution with sequential, severe vision loss in the preceding 4 months. Her past medical history included well-controlled hypertension and hyperlipidemia, CAD s/p coronary stent placement x 2 after MI, and stroke. She had no prior history of visual loss or eye surgeries. She was well until January 2014 when she was hospitalized for severe cholangitis complicated by septic shock requiring vasopressor support in the ICU. She does not recall exactly when she lost vision in her left eye but suspects it was during the hospitalization. In mid-April 2014 she was noted with Va 20/70 OD and NLP OS, had a left RAPD, and possible left optic disc pallor. Decreased vision OD was consistent with cataract, and uncomplicated surgery was performed on 5/2/14. She noted poor vision postop, and on 5/5/14 was HM OD and NLP OS with possible pallor of the right optic disc. ESR reported 3 days later was 102, and she was prescribed prednisone 60 mg po qd. Bilateral temporal artery biopsies were performed and were read as negative. Prednisone was tapered over the next month to 10 mg daily with some vision improvement OD. She then presented to our institution on 7/10/14 with Va 20/400 OD and NLP OS. The left pupil was amaurotic. Fundus exam showed mild pallor of both optic discs. OCT of the RNFL and macular GCC demonstrated diffuse loss. She remained on 10 mg prednisone daily at that time and felt her vision was slowly improving. A diagnostic procedure was performed. |
| Format |
application/pdf |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2015 |
| 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 |
| ARK |
ark:/87278/s6kd4vhh |
| Contributor Primary |
Prem S. Subramanian |
| Setname |
ehsl_novel_fbw |
| ID |
179255 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6kd4vhh |
