Bilateral Vision Loss in an Adult Patient With Woakes' Syndrome: An Unprecedented Case Publisher



Aghdam KA¹ ; Aghajani A^{1, 2} ; Hemmati S¹ ; Sanjari MS¹ Show Affiliations
Source: Journal of Current Ophthalmology Published:2022

Abstract

Purpose: To report a rare case of Woakes' syndrome presented with bilateral vision loss. Methods: A 28-year-old male with a 1-year history of vision loss in the left eye was referred to the neuro-ophthalmology clinic after sudden vision loss in his right eye. A detailed review of clinical findings and the presumed pathophysiological basis of vision loss was performed. Results: Neuroimaging revealed bilateral massive nasal polyps, sphenoid sinus mucocele formation, and optic nerve dehiscence inside the sphenoid sinus. The vision in the right eye was restored after pulse corticosteroid therapy; however, the left eye remained severely visually compromised even after nasal polypectomy and mucocele drainage. Conclusion: Sinonasal disorders should be sought for patients with unexplained vision loss, as prompt intervention could be vision-saving in these patients. © 2022 Iranian Society of Ophthalmology. All rights reserved.