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Table 1 Summary of cases reported in literature of vision loss in GBS due to Angle closure glaucoma

From: Acute vision loss in Guillain–Barré syndrome: A case series and review of literature

 

Baxter JM et al. [5]

Han J et al. [7]

Ryu, W. Y. et al. [6]

Brittain CJ et al. [4]

Our case

Variant of GBS

MFS

MFS

MFS

MFS

AIDP

Age (years)/sex

55/male

78/female

75/male

64/male

45/female

Onset of vision loss

Presenting complaint

Presenting complaint

Presenting complaint

Presenting complaints

During recovery

Laterality of symptoms

Bilateral

Unilateral (left eye)

Unilateral (Right Eye)

Unilateral (left eye)

Bilateral

IOP at onset (RE and LE)

56 mm of Hg

48 mm of Hg

18 mm of Hg

48 mm of Hg

50 mm of Hg

18 mm of Hg

20 mm of Hg

56 mm of Hg

52 mm of Hg

48 mm of Hg

BCVA at onset (RE and LE)

HM

6/18

0.6

PL

RE- HM

6/9

HM

RE-3/60

LE-6/60

ACD

Absent

Present

Present

Not Mentioned

Present

CSF Proteins

Not given

526 mg/dl

53 mg/dl

Not given

156.6 mg/dl

Medical treatment

Acetazolamide

Topical pilocarpine, timolol and iopidine

Mannitol

Topical timolol and pilocarpine

Mannitol

Topical Latanaprost, Brinzolamide and Timolol

Acetazolamide

Topical Timolol, Latanaprost, Iopidine

Mannitol,

Acetazolamide

Topical timolol

Surgical treatment

Laser peripheral iridotomy

None

Laser peripheral iridotomy

Laser peripheral iridotomy

Laser peripheral iridotomy

IVIg therapy

Given

Given

Given

Given

Given

IOP after treatment

(RE and LE)

23 mm of Hg

12 mm of Hg

18 mm of Hg

20 mm of Hg

11 mm of Hg

18 mm of Hg

13 mm of Hg

6 mm of Hg

19 mm of Hg

16 mm of Hg

Time of Reassessment after starting of treatment

6 months

2 days

2 days

2 days

2 months

BCVA after treatment

(RE and LE)

RE-6/6

LE-6/6

RE-0.8

LE-0.6

RE-10/20

RE-6/6

LE-6/6

RE-6/18

LE-6/12

  1. MFS Miller Fisher variant, AIDP acute inflammatory demyelinating polyradiculoneuropathy, mm of Hg millimetre of mercury, BCVA best corrected visual acuity, CSF cerebrospinal fluid, IV Ig intravenous immunoglobulins, RE right eye, LE left eye, ACD albumin cytological dissociation, IOP intra-ocular pressure, HM hand movement, PL perception of light, RE right eye, LE left eye