Atypical Presentation of Idiopathic Bilateral Optic Perineuritis in a Young Patient

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

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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.

Item Type: Article
Additional Information: Article ID 6741925
Subjects: R Medicine > RE Ophthalmology
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Article
Depositing User: Mr Noorazilan Noordin
Date Deposited: 15 Jan 2018 09:16
Last Modified: 15 Jan 2018 09:33

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