Dr. Nazia Nain

Dr. RAMAN YENUGANDULA

Abstract

PURPOSE- TO PRESENT A CASE OF BILATERAL OPHTHALMOPLEGIA WITH ACUTE LOSS OF VISION IN A SPAN OF 1 MONTH.

METHODS-THIS IS A CASE REPORT OF 55 YR OLD MALE WHICH PRESENTED WITH ONLY COMPLAINT OF SUDDEN,PAINLESS,PROGRESSIVE LOSS OF VISION IN BOTH EYES.THERE WAS ESODEVIATION OF BE & VISION WAS CF-CF IN RE & PL-VE IN LE. THERE WAS LIMITATION IN UP,DOWN AND LEFT GAZES. FDT WAS NEGATIVE.BOTH EYE FUNDUS WNL,IOP- NORMAL. NO OTHER CO MORBIDITIES.H\O SIGNIFICANT WEIGHT LOSS PRESENT

RESULTS-PATIENT WAS ADVISED TO GET MRI BRAIN WHICH WAS S/O CEREBRAL METASTASIS WITH MENINGEAL INVOLVEMENT. HE WAS REFFERED FOR NEUROSURGEON OPINION FOR EVALUATION.BUT IN THE COURSE OF INVESTIGATION HE DIED.HE PRESENTED LATE, PRIMARY WAS NOT IDENTIFIED.

CONCLUSION-UNFORTUNATELY THE PATIENT PRESENTED LATE TO US WHICH RESULTED IN LATE DIAGNOSIS & POOR OUTCOMES. IT IS THE METICULOUS OPHTHALMIC EVALUATION & NEURO IMAGING WHICH HAS RESULTED IN DIAGNOSIS & IDENTIFICATION OF SECONDARIES IN BRAIN WITH MENINGEAL INVOLVEMENT.