Abstract:A 39 year old male patient presented with complaints of sudden onset diminished vision in the right eye since two weeks and in the left eye since four days associated with painful ocular movements. On examination patient had optic disc edema in the right eye and the left eye showed optic disc pallor. Patient was also suffering from human immunodeficiency virus (HIV) infection. In this case study we report that the patient had pseudo Foster Kennedy syndrome directly attributed to HIV. Patient was started on int… Show more
“…(Figure 4) with findings in other reported cases of pseudo-Foster Kennedy syndrome PFKS which were secondary to other causes, such as NAION and vitamin B12 deficiency. 6,7 However, Trikey et al reported an enlarged blind spot with peripheral field constriction over the eye with optic disc swelling and generalized depression in the eye with optic atrophy. 8 OCT RNFL of our patient showed generalized thinning in the eye with optic atrophy and normal thickness in the eye with swollen optic disc.…”
Pseudo-Foster Kennedy syndrome (PFKS) is defined as unilateral disc oedema with contralateral optic nerve pallor, in the absence of intracranial pathologies. Diabetic papillopathy is a rare ocular manifestation of diabetes mellitus (DM). We report a rare case of PFKS secondary to diabetic papillopathy in a young patient with type 2 DM who had poor glucose control. There was optic disc swelling over the right eye and optic disc pallor over the left eye. His visual field assessment showed right inferior field defect and general depression in the left. Optical coherence tomography retinal nerve fibre layer showed normal thickness over the right eye and generalized thinning over the left eye. Neuroimaging and other laboratory investigations were unremarkable. With good glycemic control, the optic disc swelling over the right eye resolved. Visual field defect remained the same but retinal nerve fiber layer showed thinning in areas where the edema had resolved.
“…(Figure 4) with findings in other reported cases of pseudo-Foster Kennedy syndrome PFKS which were secondary to other causes, such as NAION and vitamin B12 deficiency. 6,7 However, Trikey et al reported an enlarged blind spot with peripheral field constriction over the eye with optic disc swelling and generalized depression in the eye with optic atrophy. 8 OCT RNFL of our patient showed generalized thinning in the eye with optic atrophy and normal thickness in the eye with swollen optic disc.…”
Pseudo-Foster Kennedy syndrome (PFKS) is defined as unilateral disc oedema with contralateral optic nerve pallor, in the absence of intracranial pathologies. Diabetic papillopathy is a rare ocular manifestation of diabetes mellitus (DM). We report a rare case of PFKS secondary to diabetic papillopathy in a young patient with type 2 DM who had poor glucose control. There was optic disc swelling over the right eye and optic disc pallor over the left eye. His visual field assessment showed right inferior field defect and general depression in the left. Optical coherence tomography retinal nerve fibre layer showed normal thickness over the right eye and generalized thinning over the left eye. Neuroimaging and other laboratory investigations were unremarkable. With good glycemic control, the optic disc swelling over the right eye resolved. Visual field defect remained the same but retinal nerve fiber layer showed thinning in areas where the edema had resolved.
“…Pseudo Foster Kennedy syndrome[9] - one-sided optic atrophy with papilledema in the other eye but without any space occupying lesion. HIV infection rarely could be a predisposing factor for this syndrome.…”
Section: Pseudo Conditions In Clinical Groupmentioning
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