An Unusual Case of Unilateral Loss of Vision

Loss of vision ODA 48-year old female with a 1-week history of loss of vision OD. Previous history significant for night sweats, fever, myalgia, fatigue, loss of appetite and six pound weight loss she associated with a trip to Mexico where she was treated with indomethacin for a non-pruritic skin rash on both arms.VA: 20/200 with eccentric gaze OD, 20/40 OS; IP: 12 OU; RAPD ODMRIGram-positive bacteria on aortic leafletsIV anti-bacterial agents1. Burde RM et al. Retinal artery occlusion in the absence of a cherry red spot. Surv Ophthalmol 1982;27:181-6. 2. Tomsak R. Ischemic optic neuropathy associated with retinal embolism. AJO 1985;99:590-2. 3. Portnoy S et al. Embolic anterior ischemic optic neuropathy. J Clin Neuro-ophthalmolol 1989;9:21-5. 4. Knox D, Duke J. Slowly progressive ischemic optic neuropathy. Trans Am Acad Ophthalmol 1971;75:1065-8. 5. Waybright E et al. Anterior ischemic optic neuropathy with internal carotid artery occlusion. AJO 1982;93:42-7. 6. Kupersmith MJ. Neurovascular neuro-ophthalmology. Springer Verlag 1993, pp. 204-2