J Korean Ophthalmol Soc.  2009 Aug;50(8):1270-1274. 10.3341/jkos.2009.50.8.1270.

Acute Transient Myopic Shift in a Patient With Fever of Unknown Origin: A Case Report

• Jang SY
• Lee HJ
• Jung MS
• Kim SY

• KMID: 2212552
• DOI: http://doi.org/10.3341/jkos.2009.50.8.1270

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.

Keyword

Acute transient myopic shift; Fever of unknown origin

MeSH Terms

Adult
Anterior Chamber
Choroid
Emmetropia
Eye
Female
Fever
Fever of Unknown Origin
Humans
Retinaldehyde
Vision, Ocular
Visual Acuity
Retinaldehyde

Figure

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  Figure 1. The fundus photograph shows retinal folds surrounding the macula.

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  Figure 2. Ultrasound B-scan reveals choroidal thickening in both eyes.

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  Figure 3. Scheimpflug images of Pentacam (A: Day 3 B: Day 7) reveal the change of the anterior chamber depth.

Reference

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