Identifier |
walsh_2020_s3_c1-pdf |
Title |
A Par 3 Macular Hole? (PDF) |
Creator |
Archana Srinivasan; Jerald Gong; Mark Moster |
Affiliation |
(AS) (MM) Wills Eye Hospital, Philadelphia, Pennsylvania; (JG) Thomas Jefferson University, Philadelphia, Pennsylvania |
Subject |
Progressive Multifocal Leukoencephalopathy, Vision Loss Binocular, Immunodeficiency, Vasculitides, JC Virus |
History |
A 78-year old woman with 3-week history of sudden onset 'visual blur' OU and difficulty reading was evaluated by her ophthalmologist and suspected to have macular hole secondary to posterior vitreous detachment and vitreomacular traction (VMT). Her past medical history was significant for hypertension, hyperlipidemia, depression and carcinoid tumor of the appendix. She consulted a retina specialist who confirmed bilateral VMT and advised follow up with regular ophthalmologist. Her visual acuity at presentation was 20/60 OD and 20/50 OS. She returned 2 weeks later with worsening vision loss and no change in retinal findings, at which point she was referred for neuro-ophthalmic consultation. At her first neuro-ophthalmology visit, vision was count fingers close to face OD and hand motion OS. Pupils were sluggish with no afferent pupillary defect. Dilated fundus exam revealed normal optic discs, epiretinal membrane and VMT OU. On further questioning, she reported being treated with prednisone for the past year by rheumatology for a 'presumed vasculitis' after she had symptoms of fever, weight loss, rash, lower extremity edema, lack of energy and skin nodules. She denied headache, jaw claudication and scalp tenderness. |
Disease/Diagnosis |
Progressive Multifocal Leukoencephalopathy with underlying angioimmunoblastic T-Cell lymphoma |
Date |
2020-03 |
References |
None. |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
2020 North American Neuro-Ophthalmology Society Annual Meeting |
Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2020 |
Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
Publisher |
North American Neuro-Ophthalmology Society |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 2020. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6p61096 |
Setname |
ehsl_novel_fbw |
ID |
1546638 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6p61096 |