Parainfectious optic neuritis followed by microcystic macular oedema

Diogo Hipolito-Fernandes, Maria Elisa-Luís, Miguel Trigo, Joana Tavares-Ferreira

Research output: Contribution to journalArticle

Abstract

Parainfectious optic neuritis is a very rare cause of acute vision loss. We present a case of a 51-year-old man with a recent upper respiratory tract infection, presumably of viral aetiology, who showed up with complains of painless right eye vision loss, followed by the same symptoms on the left eye 3 weeks later. Ophthalmological examination revealed optic disc swelling (sequential in severity) which was confirmed by optic disc imaging. The remaining evaluations (lumbar puncture, MRI, laboratory and genetic testing) were completely normal. Considering a postviral aetiology, 5-day intravenous methylprednisolone treatment was performed. Follow-up examinations revealed slight visual acuity and visual fields recovery, with subsequent optic disc atrophy and microcystic macular oedema, bilaterally. This case illustrates how important a correct clinical history is to guide a correct diagnosis and posterior management.

Original languageEnglish
JournalBMJ case reports
Volume12
Issue number9
DOIs
Publication statusPublished - 24 Sep 2019

Fingerprint

Optic Neuritis
Macular Edema
Optic Disk
Optic Atrophy
Spinal Puncture
Methylprednisolone
Genetic Testing
Visual Fields
Respiratory Tract Infections
Visual Acuity
Therapeutics

Keywords

  • neuroopthalmology
  • ophthalmology
  • retina

Cite this

Hipolito-Fernandes, Diogo ; Elisa-Luís, Maria ; Trigo, Miguel ; Tavares-Ferreira, Joana. / Parainfectious optic neuritis followed by microcystic macular oedema. In: BMJ case reports. 2019 ; Vol. 12, No. 9.
@article{d522422078974edd8fd4a026e2263e66,
title = "Parainfectious optic neuritis followed by microcystic macular oedema",
abstract = "Parainfectious optic neuritis is a very rare cause of acute vision loss. We present a case of a 51-year-old man with a recent upper respiratory tract infection, presumably of viral aetiology, who showed up with complains of painless right eye vision loss, followed by the same symptoms on the left eye 3 weeks later. Ophthalmological examination revealed optic disc swelling (sequential in severity) which was confirmed by optic disc imaging. The remaining evaluations (lumbar puncture, MRI, laboratory and genetic testing) were completely normal. Considering a postviral aetiology, 5-day intravenous methylprednisolone treatment was performed. Follow-up examinations revealed slight visual acuity and visual fields recovery, with subsequent optic disc atrophy and microcystic macular oedema, bilaterally. This case illustrates how important a correct clinical history is to guide a correct diagnosis and posterior management.",
keywords = "neuroopthalmology, ophthalmology, retina",
author = "Diogo Hipolito-Fernandes and Maria Elisa-Lu{\'i}s and Miguel Trigo and Joana Tavares-Ferreira",
year = "2019",
month = "9",
day = "24",
doi = "10.1136/bcr-2019-231442",
language = "English",
volume = "12",
journal = "BMJ case reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group: BMJ",
number = "9",

}

Parainfectious optic neuritis followed by microcystic macular oedema. / Hipolito-Fernandes, Diogo; Elisa-Luís, Maria; Trigo, Miguel; Tavares-Ferreira, Joana.

In: BMJ case reports, Vol. 12, No. 9, 24.09.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Parainfectious optic neuritis followed by microcystic macular oedema

AU - Hipolito-Fernandes, Diogo

AU - Elisa-Luís, Maria

AU - Trigo, Miguel

AU - Tavares-Ferreira, Joana

PY - 2019/9/24

Y1 - 2019/9/24

N2 - Parainfectious optic neuritis is a very rare cause of acute vision loss. We present a case of a 51-year-old man with a recent upper respiratory tract infection, presumably of viral aetiology, who showed up with complains of painless right eye vision loss, followed by the same symptoms on the left eye 3 weeks later. Ophthalmological examination revealed optic disc swelling (sequential in severity) which was confirmed by optic disc imaging. The remaining evaluations (lumbar puncture, MRI, laboratory and genetic testing) were completely normal. Considering a postviral aetiology, 5-day intravenous methylprednisolone treatment was performed. Follow-up examinations revealed slight visual acuity and visual fields recovery, with subsequent optic disc atrophy and microcystic macular oedema, bilaterally. This case illustrates how important a correct clinical history is to guide a correct diagnosis and posterior management.

AB - Parainfectious optic neuritis is a very rare cause of acute vision loss. We present a case of a 51-year-old man with a recent upper respiratory tract infection, presumably of viral aetiology, who showed up with complains of painless right eye vision loss, followed by the same symptoms on the left eye 3 weeks later. Ophthalmological examination revealed optic disc swelling (sequential in severity) which was confirmed by optic disc imaging. The remaining evaluations (lumbar puncture, MRI, laboratory and genetic testing) were completely normal. Considering a postviral aetiology, 5-day intravenous methylprednisolone treatment was performed. Follow-up examinations revealed slight visual acuity and visual fields recovery, with subsequent optic disc atrophy and microcystic macular oedema, bilaterally. This case illustrates how important a correct clinical history is to guide a correct diagnosis and posterior management.

KW - neuroopthalmology

KW - ophthalmology

KW - retina

UR - http://www.scopus.com/inward/record.url?scp=85072627159&partnerID=8YFLogxK

U2 - 10.1136/bcr-2019-231442

DO - 10.1136/bcr-2019-231442

M3 - Article

VL - 12

JO - BMJ case reports

JF - BMJ case reports

SN - 1757-790X

IS - 9

ER -