A case with severe ocular manifestations leading to the diagnosis of premenstrual syndrome Hirotaka Hashimoto 1,2 , Masanori Hashimoto 3 , Yoshimasa Hashimoto 3 , Makoto Chikuda 2 , Yoshitaka Obara 4 1Tsukuba Hashimoto Optical Clin 2Dept of Ophthalmol, Koshigaya Hosp, Dokkyo Univ Sch of Med 3Hashimoto OB/GYN Clin 4Social Welfare Corporation Tochinoki Association, Minato Manor pp.337-340
Published Date 2013/3/15
DOI https://doi.org/10.11477/mf.1410104634
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Abstract. Purpose:To report a case with severe ocular symptoms who was finally diagnosed with premenstrual syndrome. Case:A 34-year-old female presented with hyperemia in the right eye since 2 years before. The hyperemia developed every two months just before menstruation and only in winter. She had received unilateral salpingectomy for extrauterine pregnancy at the age of 20 years. She had given birth to 2 children at the age of 22 and 30 years respectively. Findings:Magnetic resonance imaging(MRI)showed pineal cystoma. She was diagnosed with premenstrual syndrome according to the diagnostic criteria for the condition. There is a high possibility that prior salpingectomy and pineal cystoma may be related with the bimonthly occurrence of ocular symptoms and only in winter. Conclusion:This case illustrates that premenstrual syndrome may manifest as ocular symptoms.

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