2024/12/03 by M N Vimisha, M Shah Virna, Vimisha, M N +5
Medicine · #Medicinal plant effects and applications #Medicine and health #Sympathectomy and Hyperhidrosis Treatments
paper · doi:10.3205/oc000246
openalex publication_date 2024/12/03 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01
We present a case of a young woman who presented with blurring of vision in her right eye, worsening on near work. Detailed ophthalmic and neurological evaluation was done, which revealed light near dissociation, vermiform iris movements, constriction to diluted pilocarpine with absent deep tendon reflexes. Laboratory investigation indicated mild iron deficiency anemia and reduced vitamin D3 level. On orthopedic evaluation she was diagnosed with right knee joint arthritis and grade 1 patellar chondromalacia. Neuroimaging was within normal limits. Magnetic resonance imaging (MRI) pelvis and lumbar spine showed left ovarian cyst, small periurethral cyst and small hemagioma in left sacral ala. A diagnosis of Holmes-Adie syndrome was made and she was prescribed photochromatic glasses.