RT Journal Article
SR Electronic
T1 Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2015212409
DO 10.1136/bcr-2015-212409
VO 2015
A1 Alejandro Viloria
A1 Beatriz Jimenez
A1 Marta Palacín
YR 2015
UL http://casereports.bmj.com/content/2015/bcr-2015-212409.abstract
AB 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.