BACKGROUND Globally,although the jellyfish population has increased in recent years,ocular jellyfish stings remain an uncommon ophthalmic emergency,and have been rarely reported.According to a few previous reports,ocu...BACKGROUND Globally,although the jellyfish population has increased in recent years,ocular jellyfish stings remain an uncommon ophthalmic emergency,and have been rarely reported.According to a few previous reports,ocular jellyfish stings may cause anterior segment disorders,and most of these injuries were self-limited and spontaneously resolved within 24 to 48 h.CASE SUMMARY A brother and sister both presented with severe fundus complications several years after ocular jellyfish stings and both had prolonged blurred vision.To our knowledge,such fundus lesions induced by jellyfish stings have not been reported previously.CONCLUSION The fundus status of patients following ocular jellyfish stings should be carefully monitored in cases of irreversible ocular damage.展开更多
BACKGROUND Acquired prosopagnosia is a rare condition characterized by the loss of familiarity with previously known faces and the inability to recognize new ones.It usually occurs after the onset of brain lesions suc...BACKGROUND Acquired prosopagnosia is a rare condition characterized by the loss of familiarity with previously known faces and the inability to recognize new ones.It usually occurs after the onset of brain lesions such as in a stroke.The initial identification of prosopagnosia generally relies on a patient’s self-report,which can be challenging if it lacks an associated chief complaint.There were few cases of prosopagnosia presenting purely as eye symptoms in the previous literature confirmed by functional magnetic resonance imaging(MRI).CASE SUMMARY We present a case of delayed diagnosis of prosopagnosia after a right hemisphere stroke in an elderly man whose chief complaint was persistent and progressive"blurred vision"without facial recognition impairment.Ophthalmic tests revealed a homonymous left upper quadrantanopia,with normal visual acuity.He was found by accident to barely recognize familiar faces.The patient showed severe deficit in face recognition and perception tests,and mild memory loss in neuropsychological assessments.Further functional MRI revealed the visual recognition deficits were face-specific.After behavioral intervention,the patient started to rely on other cues to compensate for poor facial recognition.His prosopagnosia showed no obvious improvement eight months after the stroke,which had negative impact on his social network.CONCLUSION Our case demonstrates that the presentation of prosopagnosia can be atypical,and visual difficulties might be a clinical manifestation solely of prosopagnosia,which emphasizes the importance of routinely considering face recognition impairment among elderly patients with brain lesions.展开更多
文摘BACKGROUND Globally,although the jellyfish population has increased in recent years,ocular jellyfish stings remain an uncommon ophthalmic emergency,and have been rarely reported.According to a few previous reports,ocular jellyfish stings may cause anterior segment disorders,and most of these injuries were self-limited and spontaneously resolved within 24 to 48 h.CASE SUMMARY A brother and sister both presented with severe fundus complications several years after ocular jellyfish stings and both had prolonged blurred vision.To our knowledge,such fundus lesions induced by jellyfish stings have not been reported previously.CONCLUSION The fundus status of patients following ocular jellyfish stings should be carefully monitored in cases of irreversible ocular damage.
基金Supported by Fujian Science and Technology Innovation Joint Major Project,No.2019Y9027Fujian Major Projects on Science and Technology for Social Development,No.2016YZ0001.
文摘BACKGROUND Acquired prosopagnosia is a rare condition characterized by the loss of familiarity with previously known faces and the inability to recognize new ones.It usually occurs after the onset of brain lesions such as in a stroke.The initial identification of prosopagnosia generally relies on a patient’s self-report,which can be challenging if it lacks an associated chief complaint.There were few cases of prosopagnosia presenting purely as eye symptoms in the previous literature confirmed by functional magnetic resonance imaging(MRI).CASE SUMMARY We present a case of delayed diagnosis of prosopagnosia after a right hemisphere stroke in an elderly man whose chief complaint was persistent and progressive"blurred vision"without facial recognition impairment.Ophthalmic tests revealed a homonymous left upper quadrantanopia,with normal visual acuity.He was found by accident to barely recognize familiar faces.The patient showed severe deficit in face recognition and perception tests,and mild memory loss in neuropsychological assessments.Further functional MRI revealed the visual recognition deficits were face-specific.After behavioral intervention,the patient started to rely on other cues to compensate for poor facial recognition.His prosopagnosia showed no obvious improvement eight months after the stroke,which had negative impact on his social network.CONCLUSION Our case demonstrates that the presentation of prosopagnosia can be atypical,and visual difficulties might be a clinical manifestation solely of prosopagnosia,which emphasizes the importance of routinely considering face recognition impairment among elderly patients with brain lesions.
