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Case Studies | Ophthalmology | India | Volume 13 Issue 7, July 2024 | Rating: 5.1 / 10
Recurrent Optic Neuritis - An Atypical Case Report
Dr. Sri Divya | Dr. B. Chandrasekaran
Abstract: Introduction: Optic neuritis is an acute Inflammation of the optic nerve. It is characterized by temporary vision loss, periorbital pain, defective colour vision. The various causes of optic neuritis can be infections, ischemic, infiltrative or compressive, demyelinating disorders[1]. It typically develops in young adult between the age group of 20-40 years. Some of the cases can be recurrent, unilateral or bilateral presentation. Case Presentation: A 28 year old male presented to our hospital with complaints of defective vision in the left eye for 3 days. He had a previous history of similar complaints in the right eye 5 years back in 2017 for which MRI Brain was done and revealed no significant findings and has been treated with corticosteroids. The initial examination revealed 6/60 vision in the left eye, with pupil showing grade 1 relative afferent pupillary defect (RAPD) and defective colour vision. Further investigations were done and MRI brain showed features characteristic of demyelinating disorder - multiple sclerosis. Conclusion: This case is reported for its atypical presentation in the right eye 5yrs back which was diagnosed as retrobulbar neuritis with normal MRI findings following which recurrence occurred in the contralateral eye, left eye recently with MRI findings suggestive of demyelinating disorder, which was then diagnosed to be a case of multiple sclerosis.
Keywords: Recurrent optic neuritis, Multiple sclerosis, Demyelination, Corticosteroids
Edition: Volume 13 Issue 7, July 2024,
Pages: 958 - 960