Visual disturbances and weight gain - Europe PMC

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PSD: 10.42 dB P < 0.5%. Fovea: OFF. MD: –24.06 dB P < 0.5%. GHT: Within normal limits. GHT: Outside normal limits. 04-09-95. Full threshold. 04-09-95.
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Postgrad Med J 2001;77:732–735

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Answers on p 736. Prince of Wales Hospital, Randwick, Sydney, Australia: Department of Endocrinology S Sharma R Granot N Thomas C White B E Tuch Department of Ophthalmology G A Wilcsek R Fitzsimons

Visual disturbances and weight gain S Sharma, R Granot, N Thomas, G A Wilcsek, C White, R Fitzsimons, J Tidmarsh, B E Tuch

A 51 year old man presented with a two year history of gradually deteriorating vision in his left eye, accompanied by 34 kg weight gain, easy bruising, and hypertension which was relatively resistant to conventional treatment. The patient denied any history of headaches. On examination, his general appearance was as shown (fig 1). On ocular examination his visual

Department of Endocrinology, Bankstown Hospital, Bankstown, Sydney, Australia J Tidmarsh

acuity was 6/6 in the right and 6/12 in the left eye. A left relative aVerent pupillary defect was present and fundoscopically there was left optic nerve atrophy. Numerous investigations were performed, including Humphrey’s field analysis (fig 2), and a cerebral magnetic resonance imaging (MRI) scan (fig 3). Eye positions on left lateral gaze were as shown (fig 4).

Central 24-2 Threshold test

Central 24-2 Threshold test

Threshold graytone

Threshold (dB)

04-09-95 Full threshold

GHT: Within normal limits

Threshold graytone Threshold (dB) GHT: Outside normal limits

04-09-95 Full threshold

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