Survey of Ophthalmology
Volume 55, Issue 3 , Pages 290-296, May 2010

Can't Hear, Can't See, and Too Sore to Play

  • Ryan A. Scheurer, BS

      Affiliations

    • Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota, USA
    • ,
  • Gregory S. Kosmorsky, DO

      Affiliations

    • Department of Ophthalmology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    • ,
  • Gary S. Hoffman, MD

      Affiliations

    • Department of Rheumatology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    • ,
  • Carol Farver, MD

      Affiliations

    • Neuro-ophthalmology Unit, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
    • ,
  • Michael S. Lee, MD

      Affiliations

    • Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota, USA
    • Corresponding Author InformationReprint address: Michael S. Lee, MD, Department of Ophthalmology, 420 Delaware Street S.E., MMC 493, Minneapolis, MN 55455.
    • ,
  • Dean M. Cestari, MD

      Affiliations

    • Neuro-ophthalmology Unit, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA

published online 18 January 2010.

Peter Savino and Helen Danesh-Meyer, Editors

Abstract 

A 52-year-old man developed transient, migratory polyarthralgias in the presence of hearing loss. He then developed persistent leukocytosis and thrombocytosis. His initial transient, bilateral visual obscurations happened in context with bilateral disk edema and an enlarged blind spot. Visual symptoms progressed to vision loss and multiple branch retinal artery occlusions. It was not until later in the disease progression that gastrointestinal symptoms occurred. Electron microscopy of duodenal biopsies confirmed a diagnosis of Whipple disease.

Key Words: branch retinal artery occlusion, eye infections, bacterial, leukocytosis, migratory polyarthralgias, Tropheryma, vitritis, Whipple disease

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 The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. This article was supported by an unrestricted grant from Research to Prevent Blindness, New York, NY, and the Lions Club of Minnesota.

PII: S0039-6257(09)00259-8

doi:10.1016/j.survophthal.2009.09.002

Survey of Ophthalmology
Volume 55, Issue 3 , Pages 290-296, May 2010

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