Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient
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...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/6741925 |
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| author | Jessica Mani Penny Tevaraj Evelyn Tai Li Min Raja-Azmi Mohd-Noor Lakana Kumar Thavaratnam Win Mar Salmah Wan Hazabbah Wan Hitam |
| author_facet | Jessica Mani Penny Tevaraj Evelyn Tai Li Min Raja-Azmi Mohd-Noor Lakana Kumar Thavaratnam Win Mar Salmah Wan Hazabbah Wan Hitam |
| author_sort | Jessica Mani Penny Tevaraj |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-47106022e85a43ce894b8945685b0204 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-47106022e85a43ce894b8945685b02042025-02-03T05:57:11ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/67419256741925Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young PatientJessica Mani Penny Tevaraj0Evelyn Tai Li Min1Raja-Azmi Mohd-Noor2Lakana Kumar Thavaratnam3Win Mar Salmah4Wan Hazabbah Wan Hitam5Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaHospital Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, MalaysiaA 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.http://dx.doi.org/10.1155/2016/6741925 |
| spellingShingle | Jessica Mani Penny Tevaraj Evelyn Tai Li Min Raja-Azmi Mohd-Noor Lakana Kumar Thavaratnam Win Mar Salmah Wan Hazabbah Wan Hitam Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient Case Reports in Ophthalmological Medicine |
| title | Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient |
| title_full | Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient |
| title_fullStr | Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient |
| title_full_unstemmed | Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient |
| title_short | Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient |
| title_sort | atypical presentation of idiopathic bilateral optic perineuritis in a young patient |
| url | http://dx.doi.org/10.1155/2016/6741925 |
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