RESUMO
CASE REPORT: The case is presented of an 11 year-old girl referring to a one year history of photophobia and continuously seeing white spots in both eyes. The patient had a visual acuity of unity in both eyes, and a normal eye examination, and was referred to the Neuro-ophthalmology Unit. Once complete laboratory and imaging tests ruled out the possibility of any neurological pathology, she was diagnosed with visual snow (VS). DISCUSSION: VS is an isolated symptom, possibly part of the migraine aura, that is referred by patients reporting numerous and constant white dots moving in the visual field of BE. It can significantly interfere with patient's daily activities by altering their quality of life, and ending up as a misdiagnosis. Paediatric patients also present a diagnostic challenge due to the complex interpretation that the presence of VS involves in them.
Assuntos
Transtornos da Visão/diagnóstico , Criança , Feminino , HumanosAssuntos
Neovascularização de Coroide/diagnóstico por imagem , Neovascularização de Coroide/etiologia , Cicatriz/diagnóstico por imagem , Cicatriz/etiologia , Toxoplasmose Ocular/complicações , Toxoplasmose Ocular/diagnóstico por imagem , Angiofluoresceinografia , Humanos , Tomografia de Coerência Óptica , ToxoplasmaAssuntos
Hemianopsia/etiologia , Esclerose Múltipla/diagnóstico , Neoplasias Encefálicas/diagnóstico , Diagnóstico Diferencial , Feminino , Glioma/diagnóstico , Humanos , Imunossupressores/uso terapêutico , Imageamento por Ressonância Magnética , Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Esclerose Múltipla/tratamento farmacológico , Prednisolona/uso terapêuticoRESUMO
CASE REPORT: Myopic magna with narrow anterior chamber that presented with a secondary angle closure due to lorazepam. DISCUSSION: Angle closure usually occurs in predisposed patients and is triggered by precipitating factors. Many drugs routinely used in clinical practice could act as a factor responsible for the secondary angle closure.