Systemic Amyloidosis and Extraocular Muscle Deposition

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Title Systemic Amyloidosis and Extraocular Muscle Deposition
Creator Veeral S. Shah, MD, PhD; Kara M. Cavuoto, MD; Hilda Capo, MD; Sara F. Grace, MD; Sander R. Dubovy, MD; Norman J. Schatz, MD
Affiliation Department of Ophthalmology (VS), Texas Children's Hospital, Baylor College of Medicine, Houston, Texas; Department of Ophthalmology (KMC, HC, SFG, SRD, NJS), Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
Abstract A 47-year-old woman developed severe bilateral visual loss 4 years after a Roux-en-Y gastric bypass and 24 years after vertical banded gastroplasty. Her serum copper level was 35 μg/dL (normal, 80-155 μg/dL). She was prescribed elemental copper tablets. Because her methylmalonic acid was slightly elevated, she received vitamin B12 injections as well. Five weeks later, she reported that her vision had improved and, at 10 months, her vision had recovered from 20/400 bilaterally to 20/25 in each eye. This case highlights the importance of checking copper levels in addition to the 'more routine' vitamin levels, such as B1, B6, B12, E, and serum folate in patients with suspected nutritional optic neuropathy after bariatric surgery, particularly if it involved a bypass procedure.
Subject Bariatric Surgery; Biopsy; Brain; Copper; Humans; Magnetic Resonance Imaging; Obesity, Morbid; Optic Nerve Diseases; Postoperative Complications; Visual Acuity
OCR Text Show
Date 2016-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, June 2016, Volume 36, Issue 2
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6hx575h
Setname ehsl_novel_jno
ID 1276495
Reference URL https://collections.lib.utah.edu/ark:/87278/s6hx575h
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