Vitreous or retinal hemorrhage occurring in association with subarachnoid hemorrhage is known as Terson's syndrome. In Terson's syndrome, intracranial hemorrhages are followed by intraocular hemorrhage, classically in the subhyaloid space, but may also include subretinal, retinal, preretinal, and vitreal collections. Usually occurs in adult, but can be at any age. It may be unilateral or bilateral. Vitreous hemorrhage recovery is usually spontaneous within 6 to 12 months, otherwise vitrectomy is considered. We report a case of Terson's syndrome which was admitted in Anwer Khan Modern Medical College & Hospital as unilateral Terson's syndrome with multiple intra retinal hemorrhage of left eye associated with Hypertension & Diabetes Mellitus.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 153-156
Patients with preeclampsia or eclampsia may be associated with hypertension, seizures and other neurologic symptoms and deficits. A young female patient presented with a neurological and visual disturbance which included variable symptoms like visual disturbances, headache, seizures and altered consciousness or mental status with a history of postpartum eclampsia after an uneventful LUCS. She also gave a history of a two-bag blood transfusion one month ago. A neurological and ophthalmic evaluation was performed. Detailed history taking and clinical evaluation followed by an imaging study, potentially magnetic resonance imaging (MRI), helped to confirm the diagnosis of Posterior reversible encephalopathy syndrome (PRES). PRES is a clinico-neuroradiological disorder of neurotoxicity that typically involves headache, mental confusion, seizures, and occasionally loss of vision. The exact pathophysiology of PRES is still unclear and has not been thoroughly explained. Hypertension and endothelial cell injury may be pathognomic. Prompt management may help to recover early.
Systemic lupus erythematosus (SLE) is a rare complex autoimmune disease characterized by autoantibody formation against double strand DNA and antinuclear antibody (ANA), complement activation, and deposition of immune complexes in tissues and organs. In normal population only 0.03% suffer from SLE, among them 90% are female between the age of 20 to 30 yrs. SLE can involve any region of the visual system. Although ocular manifestations are not part of the classification criteria for SLE but retinal involvement is the most common intraocular lesion observed in up to one-third of SLE patients. The most common extra ocular lesion is keratoconjunctivitis sicca. Ocular manifestations are rarely reported at the time of disease onset, but are usually associated with active generalized systemic disease. Due to low frequency of SLE and only one third of them have ocular involvement, so reports about retinal vasculitis are very rare. But fortunately a case of Vasculitis retinae due to SLE was admitted in Anwer Khan Modern Medical College & Hospital on 04/12/2018 Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 179-182
Goldenhar Syndrome or Oculoauriculovertebral Syndrome is a complex syndrome characterized by an association of maxillomandibular hypoplasia, deformity of the ear, ocular dermoid and vertebral anomalies and the most severe form of hemifacial microsomia. Here we describe a 12 years female patient with Goldenhar Syndrome came to Ophthalmology department at Anwer Khan Modern Medical College & Hospital. AKMMC J 2022; 13(1) : 60-64
Internuclear Ophthalmoplegia (INO) is a clinical syndrome which develops due to a lesion in the medial longitudinal fasciculus (MLF). It is a horizontal gaze disorder characterized by impaired adduction of eye on the side of the lesion of medial longitudinal fasciculus with dissociated nystagmus of the opposite abducting eye. This lesion is mostly caused by multiple sclerosis (usually bilateral lesion), stroke and tumours. A case with unilateral internuclear ophthalmoplegia due to vascular lesion was admitted in Anwer Khan Modern Medical College & Hospital on 27/05/2017.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 71-74
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