Tevaraj, Jessica Mani Penny and Tai, Evelyn Li Min and Mohd Noor, Raja Azmi and Thavaratnam, Lakana Kumar and Win Mar, Salmah and Wan Hitam, Wan Hazabbah
(2016)
Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient.
Case Reports in Ophthalmological Medicine, 2016 (674192).
pp. 1-4.
ISSN 2090-6722
Abstract
A previously healthy 27-year-oldMalay male presented with acute onset of painless, severe blurring of vision in his right eye. It was
associated with headache and vomiting for the pastweek. Relative afferent pupillary defectwas 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.
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