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- Title
Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient.
- Authors
Tevaraj, Jessica Mani Penny; Tai Li Min, Evelyn; Mohd-Noor, Raja-Azmi; Thavaratnam, Lakana Kumar; Salmah, Win Mar; Wan Hitam, Wan Hazabbah
- Abstract
A previously healthy 27-year-old Malay male presented with acute onset of painless, severe blurring of vision in his right eye. It was associated with headache and vomiting for the past week. Relative afferent pupillary defect was present in the right eye, with reduced optic nerve function. Patient also had bilateral generalised optic disc swelling, splinter haemorrhages, and tortuous vessels. Initial examination was suggestive of either optic neuritis or raised intracranial pressure. Typical features of bilateral optic perineuritis (OPN) such as tram track and doughnut sign were observed on magnetic resonance imaging. Connective tissue and infective screening were negative. He was diagnosed with bilateral optic perineuritis and treated with high dose intravenous corticosteroids followed by a three-month course of oral steroids. His vision and optic nerve function recovered to baseline levels.
- Subjects
HEALTH of young adults; EYE; PHYSIOLOGICAL effects of steroids; OPTIC nerve; MAGNETIC resonance imaging; PHYSIOLOGY
- Publication
Case Reports in Ophthalmological Medicine, 2016, p1
- ISSN
2090-6722
- Publication type
Case Study
- DOI
10.1155/2016/6741925