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A 23-year-old woman with near vision difficulty
Digital Journal of Ophthalmology 2007
Volume 13, Number 5
January 9, 2007
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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
History
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.
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