Mesh : Acute Disease Adult Geniculate Bodies Humans Lignans Male Myelinolysis, Central Pontine / complications diagnosis Pancreatitis / complications Vision Disorders / etiology Visual Acuity

来  源:   DOI:10.1136/bcr-2015-212409

Abstract:
A 40-year-old man was diagnosed with pancreatitis following cholecystectomy. During hospitalisation, he reported bilateral acute vision loss. His best-corrected visual acuity (BCVA) was counting fingers in the right eye and 20/200 in the left eye. Ocular fundus examination and optical coherence tomography revealed a slight alteration in the retinal nerve fibres in the nasal macular region. Automated perimetry revealed bilateral visual field defects affecting both temporal and nasal hemifields in a predominantly nasal distribution, and brain MRI confirmed symmetrical lesions within both lateral geniculate nuclei. BCVA was gradually recovered, reaching 20/20 within 6 weeks.
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