Sudden mono-ocular blindness with recurrent transient diplopia and ptosis in a middle-aged woman.
Sudden painless loss of vision is an ophthalmologic and a medical emergency resulting from various causes such as occlusion of retinal artery or vein, macular or vitreous haemorrhages, retinal detachment, and anterior and posterior ischaemic optic neuropathy. We report a 48-year-old woman presenting with right monocular blindness due to branch retinal artery occlusion whose vision recovered due to timely paracentesis coupled with treatment with adequate antiplatelet agents and anticoagulants. The patient had transient diplopia and ptosis despite adequate antiplatelet agents and anticoagulants. Thorough search for aetiology revealed the underlying cause to be aortoarteritis. Aortoarteritis is a rare disease, and ocular involvement occurs late in the disease. We review ophthalmologic manifestation of aortoarteritis and diagnostic utilities of various modalities for aortoarteritis.
Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
Vishal V
VV
Ramteke
Yojana A
YA
Gokhale
Paritosh A
PA
Kamdar
Vashistha
V
Maniar
Makardhwaj
M
Shrivastava
Natasha
N
Singh
B A
BA
Krishna
D001763:Blepharoptosis / Q000209:etiology*; D001766:Blindness / Q000209:etiology*; D004172:Diplopia / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015356:Retinal Artery Occlusion / Q000150:complications*