Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Irvandi, Hans Kurniawan and Artha Latief
Bethsaida Hospital, Indonesia
Posters & Accepted Abstracts: Clin Exp Ophthalmol
Introduction & Objective: Pancoast syndrome is a condition resulting from pathological process that leads to destruction
of thoracic inlet involving brachial plexus and cervical sympathetic nerves that may presented as Hornerâ??s syndrome. It is
important to consider differential diagnosis of Pancoast syndrome in patients with Hornerâ??s syndrome. The objective is to
describe a rare case of Pancoast syndrome with Miliary tuberculosis.
Case Presentation: A 13 years old girl was admitted with fever lasting for four days, swollen eyelids and pustules on her
forehead. She was diagnosed with Herpes Zoster and treated with antiviral medicine for 2 days prior admission. Her condition
deteriorated quickly and was submitted to Intensive Care Unit (ICU) due to respiratory distress. She was consulted to
ophthalmology department for decreased visual acuity and swollen eyelids. Visual acuity was no light perception in both
eyes. Physical examination showed palpebral edema, ptosis and conjunctival chemosis in both eyes. The left and right pupil
diameter was 7 mm and 3 mm respectively with negative pupillary response, except the direct pupillary response of the right
eye. Fundus examination showed pale optic disc in both eyes. Thorax X-ray showed pneumothorax with Miliary tuberculosis.
She was diagnosed with Pancoast syndrome from Miliary tuberculosis. She was further referred to pulmonology department.
Conclusion: Pancoast syndrome is a rare condition of pulmonary disease (usually a malignant neoplasm) along with Horner
syndrome. When it appears with Hornerâ??s syndrome, the prognosis worsens. It is concluded that the Pancoast syndrome
should be suspected in patients presented with Hornerâ??s syndrome.
E-mail: leonhardcirvandi@gmail.com