Vision loss the first sign of adrenal tumour in 42-year-old patient
A diabetic woman who presented to hospital with acute vision loss in her right eye was found to have an adrenal adenoma
A 42-year-old woman who presented to hospital with acute vision loss in her right eye was diagnosed with a benign tumour in her adrenal gland.
Writing in BMJ Case Reports, clinicians described how the patient presented with a visual acuity of 6/36 in her right eye and 6/6 in her left eye.
Investigations revealed an exudative retinal detachment in her right eye as well as a pigment epithelial detachment.
The patient had multifocal central serous retinopathy in both eyes.
The woman, who had hypertension and diabetes, was diagnosed with Cushing syndrome and a right adrenal adenoma was also discovered.
During a treatment period that spanned several years, the patient received an adrenalectomy followed by a maintenance dose of steroids.
The patient subsequently developed central serous retinopathy again which the clinicians believe might be related to steroid use.
The authors advised “careful deliberation” in prescribing a maintenance dose of steroids following removal of the adrenal glands because of the potential link to retinopathy.
Image credit: BMJ Case Reports