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 language | English |
|---|---|
| Journal | BMJ case reports |
| Volume | 12 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 24 Sep 2019 |
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Keywords
- neuroopthalmology
- ophthalmology
- retina
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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 journal › Article
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 -