Acute Transient Myopic Shift in a Patient With Fever of Unknown Origin: A Case Report.
10.3341/jkos.2009.50.8.1270
- Author:
Sun Young JANG
1
;
Hyun Joon LEE
;
Moon Sun JUNG
;
So Young KIM
Author Information
1. Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea. ophdrkim@schch.ac.kr
- Publication Type:Case Report
- Keywords:
Acute transient myopic shift;
Fever of unknown origin
- MeSH:
Adult;
Anterior Chamber;
Choroid;
Emmetropia;
Eye;
Female;
Fever;
Fever of Unknown Origin;
Humans;
Retinaldehyde;
Vision, Ocular;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2009;50(8):1270-1274
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of acute transient myopic shift in a patient with fever of unknown origin. CASE SUMMARY: A 31-year-old woman without a history of any ophthalmic problems presented with a sudden onset of bilateral blurred vision. She was admitted with the diagnosis of fever of unknown origin (FUO). Ophthalmic examination revealed a visual acuity of 0.06 in the right eye and 0.1 in the left eye. A myopic shift of 3.12 diopters (D) and 2.25D was noted in the right and left eyes, respectively. Retinal folds and choroidal thickening accompanied the myopic shift. On the third day after onset, visual acuity had decreased even more. Myopic shift increased to 4.87D in the right eye and 4.50D in the left eye. At the same time, the depth of the anterior chamber maximally decreased and the thickness of the lens was maximally increased. One week later, the myopic shift was normalized to emmetropia. The depth of the anterior chamber and the thickness of the lens also normalized as the fever subsided.
