Vimisha M N, Virna M Shah, Karthik Kumar, Sharanya R
Department of Neuro-Ophthalmology, Aravind Eye Hospital and Postgraduate Institute, Coimbatore, India.
GMS Ophthalmol Cases. 2024 Dec 3;14:Doc14. doi: 10.3205/oc000246. eCollection 2024.
We present a case of a young woman who presented with blurring of vision in her right eye, worsening on near work. Detailed ophthalmic and neurological evaluation was done, which revealed light near dissociation, vermiform iris movements, constriction to diluted pilocarpine with absent deep tendon reflexes. Laboratory investigation indicated mild iron deficiency anemia and reduced vitamin D3 level. On orthopedic evaluation she was diagnosed with right knee joint arthritis and grade 1 patellar chondromalacia. Neuroimaging was within normal limits. Magnetic resonance imaging (MRI) pelvis and lumbar spine showed left ovarian cyst, small periurethral cyst and small hemagioma in left sacral ala. A diagnosis of Holmes-Adie syndrome was made and she was prescribed photochromatic glasses.
我们报告一例年轻女性病例，该患者右眼出现视力模糊，近距离工作时症状加重。进行了详细的眼科和神经学评估，结果显示光近分离、虹膜蠕虫样运动、对稀释毛果芸香碱收缩且深部腱反射消失。实验室检查表明有轻度缺铁性贫血和维生素D3水平降低。经骨科评估，她被诊断为右膝关节关节炎和1级髌骨软骨软化症。神经影像学检查结果正常。骨盆和腰椎的磁共振成像（MRI）显示左侧卵巢囊肿、小的尿道周围囊肿和左侧骶骨翼小血管瘤。诊断为霍姆斯-阿迪综合征，并为她开了变色眼镜。
