ABSTRACT
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.
Subject(s)
Diplopia/etiology , Ear Neoplasms/complications , Glomus Jugulare Tumor/complications , Deglutition Disorders/etiology , Diplopia/diagnosis , Diplopia/radiotherapy , Dysphonia/etiology , Ear Neoplasms/diagnosis , Ear Neoplasms/radiotherapy , Ear, Inner/pathology , Ear, Middle/pathology , Female , Glomus Jugulare Tumor/diagnosis , Glomus Jugulare Tumor/radiotherapy , Hearing Loss/etiology , Humans , Infratentorial Neoplasms/complications , Middle Aged , Neoplasm Invasiveness , Treatment OutcomeABSTRACT
PURPOSE: To clarify the diagnosis of open-angle glaucoma in an atypic case. METHOD: Assessment of intraocular pressure, the aspect of optic nerve head and automated perimetry show interpretable values. We assess the head of optic disc and the visual field in both mother and daughter of the patient. RESULTS: The optic disc and the automated perimetry in both relatives was normal reassessment of visual field at the patient show a normal appearance. CONCLUSIONS: When the diagnosis of open-angle glaucoma is unclear, the assessment of members of family may be useful.
Subject(s)
Family , Glaucoma, Open-Angle/diagnosis , Optic Disk/pathology , Adult , Child , Diagnosis, Differential , Female , Fundus Oculi , Humans , Intraocular Pressure , Male , Middle Aged , Mothers , Nuclear Family , Vision Screening , Visual Field Tests/methodsABSTRACT
PURPOSE: To reassess the diagnosis in a group of patients with diagnosis and treatment for open-angle glaucoma. METHOD: Group of 100 patients with diagnosis and treatment for open-angle glaucoma, sent in our clinic for automated perimetry. We assess: intraocular pressure, automated perimetry, the head of optic disc; sometimes we stopped the treatment and reassess the intraocular pressure; sometimes pahimetry. We confirm or not the diagnosis of open-angle glaucoma. RESULTS: In 41 patients the diagnosis of open-angle glaucoma was not real. CONCLUSIONS: The diagnosis of open-angle glaucoma is made often without clear medical evidences.
