DR. BRINDA S

Dr. ANTHRAYOS C.V. KAKKANATT, DR. JESMI JOSE, DR. SREELAKSHMI ARUN

Abstract

49 yr old male k/c/o DM and HTN on irregular medication came with complaints of sudden onset unilateral painless loss of vision. Ocular examination showed visual acuity of 2/60 with PH-6/60 in RE and 6/6 in LE. Anterior segment examination showed early cataract in both eyes and sluggish pupillary reaction in RE. Fundus examination showed both eye hyperemic disc with blurred margins, dilated venules, hemorrhages in and around the disc and a temporal disc pallor in right eye. Disc edema and hemorrhages were more prominent in left eye (also confirmed on optic disc cube study). Central macular thickness in RE-296 and LE-272. MRI brain showed non-specific white matter ischemic changes in right parietal subcortical white matter. Diagnosis of evolving PEUDOFOSTER KENNEDY SYNDROME was made and after a course of Inj. Methylprednisolone, vision in RE improved – 6/60 with PH-6/18p and vision in LE-6/9p with PH-6/6p but pallor ensued in RE optic disc and blurred margins noted in LE disc.