Bilateral Visual Loss: More Than Meets The Eye

• Published in: Survey of ophthalmology Vol. 58; no. 1; pp. 86 - 91
• Main Authors: Turnbull, Andrew M.J., BM, Trikha, Sameer, BM, MRCOphth, Gibson, Daren, FRCR, Evans, Anthony R., FRCS, FRCOphth, Foroozan, Rod, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 2013
• Subjects: acute bilateral visual loss; Acute Disease; Aged; Blindness - diagnosis; Blindness - physiopathology; Brain Edema - diagnosis; Brain Edema - physiopathology; cerebral edema; Female; Humans; Magnetic Resonance Imaging; Ophthalmology; Posterior Leukoencephalopathy Syndrome - diagnosis; Posterior Leukoencephalopathy Syndrome - physiopathology; posterior reversible encephalopathy syndrome (PRES); reversible posterior leukoencephalopathy syndrome; Visual Acuity - physiology; Visual Field Tests; Visual Fields - physiology; magnetic resonance imaging; posterior reversible encephalopathy syndrome (PRES); cerebral edema; acute bilateral visual loss; reversible posterior leukoencephalopathy syndrome
• ISSN: 0039-6257; 1879-3304
• DOI: 10.1016/j.survophthal.2012.01.001

Abstract A 72-year-old woman presented with acute onset bilateral visual loss. She had no other symptoms or signs, but had a complex past medical history including blood transfusions and immunosuppression. T2-weighted magnetic resonance imaging demonstrated bilateral occipital lobe vasogenic edema, consistent with posterior reversible encephalopathy syndrome (PRES). Her vision improved with conservative management.