ABSTRACT
"Red eye" is a sign and the same time a symptom frequently met in the ophthalmological practice. The "red eye" is not always the clinical manifestation of a common conjunctivitis. We will present a case report of a patient who accused conjunctival hyperemia, lacrimation, foreign--body sensation; she was also describing recurrent conjunctivitis for the past year. After an detailed ophthalmologic examination and interdisciplinary consultations. She was diagnosed with Basedow Disease and paraselar meningioma with invasion in the pterigoid fossa. The authors are suggesting that there is an indirect left carotid - cavernous fistula.
Subject(s)
Carotid-Cavernous Sinus Fistula/diagnosis , Conjunctival Diseases/diagnosis , Glaucoma, Open-Angle/diagnosis , Meningeal Neoplasms/diagnosis , Meningioma/diagnosis , Sella Turcica/pathology , Carotid-Cavernous Sinus Fistula/etiology , Carotid-Cavernous Sinus Fistula/therapy , Conjunctival Diseases/etiology , Conjunctival Diseases/therapy , Diagnosis, Differential , Female , Glaucoma, Open-Angle/etiology , Glaucoma, Open-Angle/therapy , Graves Disease/complications , Humans , Meningeal Neoplasms/therapy , Meningioma/therapy , Middle Aged , Treatment RefusalABSTRACT
This paper highlights the case of a 46-year-old female patient who seeks ophthalmic medical advice for her complaint about double vision on right gaze. Patient's medical history reveals several symptoms like headaches, progressive hearing loss on right side and dysphonia for which all investigations proved irrelevant. Thourough clinical examination, lab exams and imaging techniques revealed the cause for this symptoms i.e. glomic tumour with middle ear extention. We find this case to be exceptional as ocular symptoms led to the diagnose of a non-ocular serious, possible life threatening condition, bearing in mind that previously occured non-ocular symptoms couldn't elucidate the cause.
