The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct

Coloured halos occur due to the accumulation of fluid in the corneal epithelium and due to alterations in the refractive condition of the corneal lamellae. They are usually seen in glaucoma, cataract, and sometimes in conjunctivitis as well. Visual hallucination are observed in migraines, seizure di...

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Main Authors: Kaaviya Asokan, Venipriya P. Sigamani, Renuka Srinivasan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:https://journals.lww.com/10.4103/tjosr.tjosr_96_22
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author Kaaviya Asokan
Venipriya P. Sigamani
Renuka Srinivasan
author_facet Kaaviya Asokan
Venipriya P. Sigamani
Renuka Srinivasan
author_sort Kaaviya Asokan
collection DOAJ
description Coloured halos occur due to the accumulation of fluid in the corneal epithelium and due to alterations in the refractive condition of the corneal lamellae. They are usually seen in glaucoma, cataract, and sometimes in conjunctivitis as well. Visual hallucination are observed in migraines, seizure disorders, and sometimes psychiatric disorders. This presentation is about a 55-year-old female who came to casualty with complaints of a severe headache and sudden onset of defective vision in the right side for 3 days. She also complained of seeing multi-coloured rings in a star pattern, each episode lasting for 10 to 15 min. A confrontation test was performed, which showed right homonymous hemianopia. A CT scan of the Brain was conducted, revealing a left subacute occipital lobe infarct. Gonioscopy and dilated fundus examination showed no evidence of glaucoma. In summary, coloured halos occur not only due to glaucoma or cataract, but they can also, though rarely, suggest occipital lobe infarcts. A thorough history and a detailed systemic and ocular examination in all cases of coloured halos will help in diagnosing rare causes.
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spelling doaj-art-772f4002fe03495e852dd2234885eb732025-08-20T02:59:31ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362024-12-0162447447710.4103/tjosr.tjosr_96_22The Fault in our Stars – Starry-coloured Halos in Occipital Lobe InfarctKaaviya AsokanVenipriya P. SigamaniRenuka SrinivasanColoured halos occur due to the accumulation of fluid in the corneal epithelium and due to alterations in the refractive condition of the corneal lamellae. They are usually seen in glaucoma, cataract, and sometimes in conjunctivitis as well. Visual hallucination are observed in migraines, seizure disorders, and sometimes psychiatric disorders. This presentation is about a 55-year-old female who came to casualty with complaints of a severe headache and sudden onset of defective vision in the right side for 3 days. She also complained of seeing multi-coloured rings in a star pattern, each episode lasting for 10 to 15 min. A confrontation test was performed, which showed right homonymous hemianopia. A CT scan of the Brain was conducted, revealing a left subacute occipital lobe infarct. Gonioscopy and dilated fundus examination showed no evidence of glaucoma. In summary, coloured halos occur not only due to glaucoma or cataract, but they can also, though rarely, suggest occipital lobe infarcts. A thorough history and a detailed systemic and ocular examination in all cases of coloured halos will help in diagnosing rare causes.https://journals.lww.com/10.4103/tjosr.tjosr_96_22coloured halosoccipital lobe infarctvisual hallucination
spellingShingle Kaaviya Asokan
Venipriya P. Sigamani
Renuka Srinivasan
The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct
TNOA Journal of Ophthalmic Science and Research
coloured halos
occipital lobe infarct
visual hallucination
title The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct
title_full The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct
title_fullStr The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct
title_full_unstemmed The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct
title_short The Fault in our Stars – Starry-coloured Halos in Occipital Lobe Infarct
title_sort fault in our stars starry coloured halos in occipital lobe infarct
topic coloured halos
occipital lobe infarct
visual hallucination
url https://journals.lww.com/10.4103/tjosr.tjosr_96_22
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AT renukasrinivasan thefaultinourstarsstarrycolouredhalosinoccipitallobeinfarct
AT kaaviyaasokan faultinourstarsstarrycolouredhalosinoccipitallobeinfarct
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