On February 8, 1985, a 30 year old female nurse noted the acute onset of blurred central vision in both eyes at approximately 11:00 AM. That same morning she had noted a painful dry cough with progressive hoarseness. She also had a headache, diarrhea, and pruritis without rash.
He best corrected visual acuity was 20/400 OU. Fundus examination revealed scattered small patches of yellowish semitransparent retinal lesions in the posterior pole. Fluorescein angiography revealed multiple punctate retinal leaks in the posterior pole with diffuse retinal staining in the late phases of the angiogram. These were symmetrical bilateral changes.
On February 11, 1985, visual acuity had spontaneously improved to 20/40 OU. The retinal leaks on repeat fluorescein angiography were no longer present. By March 1, 1985, visual acuity had improved to 20/25 OU.
The patient's past medical history was significant only for 1-year history of herpes genitalis which was documented by herpes titers for Type 1 and Type 2.
Laboratory tests revealed increased titers to influenza A, and Coxsackie B2 and B3. The white blood count was 3,400 and the platelet count was 110,000. This suggested both a leukopenia and thrombocytopenia.
-
---thumb.jpg/image-square;max$300,300.ImageHandler)
Acute Blurred Central Vision
Nov 7 2013 by Maurice F. Rabb
30 year old female with acute blurred central vision.
Condition/keywords: blurred vision
-
---thumb.jpg/image-square;max$300,300.ImageHandler)
Acute Blurred Central Vision
Nov 7 2013 by Maurice F. Rabb
30 year old female with acute blurred central vision.
Condition/keywords: blurred vision
-
---thumb.jpg/image-square;max$300,300.ImageHandler)
Acute Blurred Central Vision
Nov 7 2013 by Maurice F. Rabb
30 year old female with acute blurred central vision.
Condition/keywords: blurred vision
-
---thumb.jpg/image-square;max$300,300.ImageHandler)
Acute Blurred Central Vision
Nov 7 2013 by Maurice F. Rabb
30 year old female with acute blurred central vision.
Condition/keywords: blurred vision