Grand Rounds
  Most Recent Cases
  Dates Cases
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
1999
1998
1997
1996
  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
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.
top