Welcome, please sign in
Follow DJO on Facebook Follow DJO on Twitter
Grand Rounds
  Most Recent Cases
Bilateral uveal effusio...
A 15-year-old-boy with ...
A 60-year-old woman wit...
  Dates of Case
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
A 23-year-old woman with near vision difficulty
Digital Journal of Ophthalmology 2007
Volume 13, Number 5
January 9, 2007
Printer Friendly

H. Ozden Sener | Departments of Neurology and Ophthalmology, Ankara University School of Medicine
Mine H. Sorgun | Department of Neurology, Ankara University School of Medicine
Huban Atilla | Department of Ophthalmology, Ankara University School of Medicine
Canan Yucesan | Department of Neurology, Ankara University School of Medicine
A 23-year-old female university student was admitted to the Department of Neurology with near vision difficulty and fatigue for 2 months. She was on neither eye drops nor any systemic medication. Her medical history revealed that she had presented to her physician with left shoulder pain six months ago. A mediastinal mass was found and a thymectomy was planned. She had an erythrocyte sedimentation rate (ESR) of 70 mm/h, moderate leukopenia (2600/uL) and thrombocytopenia (118,000/uL) at that time. Hematological investigations including bone marrow aspiration and biopsy all appeared normal. A thymectomy was performed through left sided thoracotomy. The mass was a benign thymoma (type B1) with cystic components. A left sided Horner's Syndrome developed just after the surgery and resolved over time. She reported a six to eight kilogram weight loss in four months following the operation. Two months after the operation she noticed difficulty with near vision.