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TopCase Report 1
A 25-year-old female patient came to the Ophthalmology OPD for routine checkup of IOP as she was a known patient of glaucoma who had received the diagnosis prior to presenting at our facilities. She was asymptomatic.
On examination, she had visual acuity 6/6 in both eyes, clear conjunctiva, clear cornea, deep anterior chambers, normal pupils, intra-ocular pressure was 20mm Hg in both eyes on applanation tonometery, gonioscopy revealed both eyes had open angles, OD evaluation showed a vertical C:D ratio of 0.8 with superior and inferior NRR thinning in the right eye. The results from her carotid colour doppler studies were within normal limits.
She also had a history of difficulty in breathing, gastrointestinal distress, and a mild, but constant, heaviness in both eyes. On further probing, she provided a history of use of mustard oil for many years. There was a corroborative history of mass disease of swelling of feet in her village community, hence the patient was also investigated for epidemic dropsy. After initiating treatment to control IOP, the patient was referred to the Department of Medicine for further assessment and management of Argemone intoxication.
Figure 1.
Fundus photograph of right eye showing, VCD:0.7-0.8, nasal shifting of blood vessels along with, inferior thinning of NRR
TopCase Reports 2, 3, And 4
A female aged, 38 years and her two children, one boy of 12 years and a girl of 14 years, came with a history of blurring of vision in both eyes, with mild pain.