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CASE REPORT
Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis
  1. Alejandro Viloria1,
  2. Beatriz Jimenez2,
  3. Marta Palacín3
  1. 1Department of Neurology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
  2. 2Department of Ophthalmology, Hospital Ernest Lluch, Calatayud, Spain
  3. 3Department of Neurology, Hospital Ernest Lluch, Calatayud, Spain
  1. Correspondence to Alejandro Viloria, alejandrovilo{at}hotmail.com

Summary

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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