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CASE REPORT
Year : 2022  |  Volume : 34  |  Issue : 2  |  Page : 264-266

Bilateral vision loss in an adult patient with woakes' syndrome: An unprecedented case


1 Eye Research Center, Eye Department, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
2 Eye Research Center, Eye Department, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran; Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Ali Aghajani
Department of Ophthalmology, Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Niayesh Avenue, Sattarkhan Street, Tehran 1445613131
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joco.joco_302_21

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Purpose: To report a rare case of Woakes' syndrome presented with bilateral vision loss. Methods: A 28-year-old male with a 1-year history of vision loss in the left eye was referred to the neuro-ophthalmology clinic after sudden vision loss in his right eye. A detailed review of clinical findings and the presumed pathophysiological basis of vision loss was performed. Results: Neuroimaging revealed bilateral massive nasal polyps, sphenoid sinus mucocele formation, and optic nerve dehiscence inside the sphenoid sinus. The vision in the right eye was restored after pulse corticosteroid therapy; however, the left eye remained severely visually compromised even after nasal polypectomy and mucocele drainage. Conclusion: Sinonasal disorders should be sought for patients with unexplained vision loss, as prompt intervention could be vision-saving in these patients.


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