DR. SHARMILA M

DR. VIRNA SHAH, DR. KARTHIK KUMAR MANI

Abstract

We present a case of sudden loss of vision in a 22 years female due to bilateral lateral geniculate body necrosis following an acute attack of pancreatitis. She was on altered diet pattern for weight loss and had fever, abdominal pain, vomiting and loss of consciousness followed by sudden loss of vision in both eyes. Complete ophthalmologic examination showed visual acuity in RE -Hand movements, LE – 1/60, normal anterior segment and fundus examination except for sluggish pupillary reaction in BE. Visual Evoked Potential showed prolonged latency in both eyes. MRI confirmed the presence of symmetrical lesions within both lateral geniculate bodies, on T1-weighted and fluid attenuated inversion recovery images as high-signal-intensity areas suggestive of hemorrhagic ischemia. Investigations for infective aetiology excluded a microbial infection. We conclude that shock may induce an isolated ischemia of the lateral geniculate bodies leading to acute loss of vision in both eyes.