scholarly journals Combined Interventions for Nonorganic Visual Loss in a Case with Pseudo-Myopia: A Perspective from Vietnam

2020 ◽  
Vol 11 (2) ◽  
pp. 229-233
Author(s):  
Hien Thu Thi Nguyen ◽  
Tung Thanh Hoang ◽  
Anh Phuong Tran ◽  
Huy Dinh Minh Tran
Keyword(s):  
Visual Acuity ◽  
Visual Loss ◽  
Low Dose ◽  
Conversion Disorder ◽  
Visual Disorder ◽  
Acute Visual Loss ◽  
Daily Function ◽  
Combined Interventions ◽  
Nonorganic Visual Loss

A previously healthy 10-year-old girl developed painless visual loss. She was diagnosed with a spasm of accommodation confirmed by cycloplegic refraction. She was prescribed low-dose atropine and again reported acute visual loss that was inconsistent with the level of daily function. She was referred to a pediatric psychiatrist with suspicion for a nonorganic visual disorder and was diagnosed with conversion disorder. She received psychotherapy and continued the treatment with low-dose atropine. Her visual acuity at distance returned to normal. Psychogenic visual loss can mimic organic disorders; hence, ophthalmologists should be aware of cases without the agreement between visual signs and daily manifestation.

scholarly journals Paraneoplastic optic neuropathy secondary to adenocarcinoma of the lung

2021 ◽  
Vol 14 (5) ◽  
pp. e242082
Author(s):  
Jin Yi Yap ◽  
Wan-Hazabbah Wan HItam ◽  
Sanihah Abdul Halim ◽  
Nurul Ain Masnon
Keyword(s):  
Visual Acuity ◽  
Optic Neuropathy ◽  
Visual Loss ◽  
Hand Movement ◽  
Healthy Woman ◽  
Lung Mass ◽  
Adenocarcinoma Of The Lung ◽  
Acute Visual Loss ◽  
Lung Lobectomy ◽  
The Right

We describe an uncommon cause of paraneoplastic optic neuropathy in adenocarcinoma of the lung. A 45-year-old healthy woman presented with seizure and encephalitis, followed by an acute visual loss in both eyes for 1 week. Her visual acuity was no perception of light in the right eye and hand movement in the left eye. There was a generalised restriction of extraocular muscle movements in both eyes. Funduscopy showed a bilateral pale optic disc. A paraneoplastic antigen autoimmune profile showed a positive anti-CV2/CRMP-5 antibody. CT of the thorax revealed the presence of right apical lung mass, confirmed to be adenocarcinoma through a biopsy. She was scheduled for lung lobectomy and chemotherapy. Unfortunately, her health deteriorated and she passed away eventually.

scholarly journals Acute Visual Loss Induced by Dexamethasone during Neoadjuvant Docetaxol

2008 ◽  
Vol 2 ◽  
pp. CMO.S339
Author(s):  
D.L. Gregory ◽  
C.D. Jones ◽  
E.R.E. Denton ◽  
A.N. Harnett
Keyword(s):  
Breast Cancer ◽  
Visual Acuity ◽  
Neoadjuvant Chemotherapy ◽  
Visual Loss ◽  
Chemotherapy Regimen ◽  
Acute Onset ◽  
Second Line ◽  
Central Serous Retinopathy ◽  
Steroid Dose ◽  
Acute Visual Loss

We present a case of a female patient who developed acute onset of visual loss due to central serous retinopathy as a consequence of steroid premedication for docetaxol given as second line neoadjuvant chemotherapy for breast cancer. Central serous retinopathy is a recognised association with steroids but has not been previously reported in association with the management of solid tumours. Reduction in steroid dose and duration permitted recovery of her visual acuity while allowing completion of the prescribed chemotherapy regimen. An overview of the presentation, pathogenesis, aetiologies and management of central serous retinopathy is given.

scholarly journals Hypertensive Retinopathy as the First Manifestation of Advanced Renal Disease in a Young Patient: Report of a Case

2015 ◽  
Vol 6 (3) ◽  
pp. 415-419 ◽  
Author(s):  
Karen Janeth Arriozola-Rodríguez ◽  
Juan Carlos Serna-Ojeda ◽  
Virginia Alejandra Martínez-Hernández ◽  
José Luis Rodríguez-Loaiza
Keyword(s):  
Renal Failure ◽  
Visual Acuity ◽  
Kidney Transplantation ◽  
Chronic Renal Failure ◽  
Renal Disease ◽  
Visual Loss ◽  
Hypertensive Retinopathy ◽  
Patient Report ◽  
Gradual Improvement ◽  
Acute Visual Loss

The purpose of this paper was to report the case of a 23-year-old patient suffering from bilateral acute visual loss who received the diagnosis of hypertensive retinopathy. After systemic evaluation, he was diagnosed with bilateral renal disease and chronic renal failure, requiring a kidney transplantation to manage the systemic illness, followed by gradual improvement of his visual acuity.

scholarly journals Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Salvatore Di Lauro ◽  
Melissa Castrejón ◽  
Itziar Fernández ◽  
Jimena Rojas ◽  
Rosa M. Coco ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Visual Loss ◽  
Vision Loss ◽  
Multicentric Study ◽  
Prospective Multicentre Study ◽  
Snellen Chart ◽  
Pars Plana ◽  
Phakic Eyes

Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD.Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n=357); (2) macula-on patients with visual loss at the third month of follow-up (n=53) which were further subdivided in (3) phakic eyes (n=39); and (4) pseudophakic eyes (n=14).Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n=39phakic eyes;n=14pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures).Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis.

scholarly journals Compressive Optic Neuropathy Caused by Orbital Non-Hodgkin's Lymphoma

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Mohammed M. Ziaei ◽  
Hadi Ziaei
Keyword(s):  
Optic Nerve ◽  
Paranasal Sinus ◽  
Optic Neuropathy ◽  
Hodgkin’S Lymphoma ◽  
Visual Loss ◽  
Hodgkin's Lymphoma ◽  
Compressive Optic Neuropathy ◽  
Acute Visual Loss ◽  
Non Hodgkin’S Lymphoma ◽  
Non Hodgkin's Lymphoma

Purpose. To present a unique case of Non-Hodgkin’s-Lymphoma- (NHL) associated compressive optic neuropathy.Method. An 89-year-old male presenting with acute unilateral visual loss and headache.Results. Patient was initially diagnosed with occult giant cell arteritis; however after visual acuity deteriorated despite normal inflammatory markers, an urgent MRI scan revealed an extensive paranasal sinus mass compressing the optic nerve.Conclusion. Paranasal sinus malignancies occasionally present to the ophthalmologist with signs of optic nerve compression and must be included in the differential diagnosis of acute visual loss.

Acute visual loss following administration of metronidazole: A case report

2000 ◽  
Vol 23 (2) ◽  
pp. 89-94 ◽  
Author(s):  
Holger Allroggen ◽  
Richard J. Abbott ◽  
Kim Bibby
Keyword(s):  
Case Report ◽  
Visual Loss ◽  
Acute Visual Loss
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