Work

Eye Swelling and Decreased Vision in a Patient With Autism

Year: 2023

Type: article

Abstract: Our UPFRONT case describes an 8-year-old girl with severe autism spectrum disorder who presents with worsening eyelid swelling, decreased vision, and new exotropia for 1-2 months.Examination in the clinic, significantly limited by cooperation, revealed dry eye, and topical cyclosporine was started.Subsequent examination was notable for difficulty walking, needing to feel the area around her feet, and a complete relative afferent pupillary defect (rAPD) on the right.Sedated MRI showed no compressive lesions, but abnormal bone marrow signal was noted.Examination under anesthesia (EUA) revealed conjunctival keratinization, temporal optic nerve pallor, and attenuated retinal vessels with a salt and pepper fundus.Laboratory testing confirmed the final diagnosis of vitamin A and B12 deficiencies (both undetectable in serum; among other deficiencies) secondary to very restrictive eating habits (exclusively chicken nuggets, Cheerios, and fries), which

Source: Journal of Neuro-Ophthalmology

DOI: 10.1097/wno.0000000000001832

Authors: Jia Xu, Yanjia Jason Zhang, Efren Gonzalez, Thomas H. Dohlman, Eric D. Gaier