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Transient cortical blindness secondary to hepatic encephalopathy in a pediatric patient: A case report and literature review


1 Ophthalmology Clinic, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
2 Pediatrics Clinic, Hospital Universiti Sains Malaysia; Department of Pediatrics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
3 Ophthalmology Clinic, Hospital Universiti Sains Malaysia; Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

Correspondence Address:
Ismail Shatriah,
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan
Malaysia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_43_20

Cortical blindness, also known as cerebral visual impairment, may occur in pediatric patients. Hepatic encephalopathy is a rare cause of cortical blindness in children. This report describes a girl with underlying type 1 autoimmune hepatitis, who complained of sudden-onset, painless visual loss in both eyes, which was associated with generalized headache and altered mental status. She was treated with intravenous antibiotics and syrup lactulose. The patient regained full visual recovery after 1 week. Prompt diagnosis and treatment are mandatory in such uncommon instances.


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    -  Ain-Nasyrah AS
    -  Majid NA
    -  Shatriah I
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