Acute Retrobulbar Optic Neuritis with Hematologic Abnormalities
Journal of the Korean Ophthalmological Society
; : 1567-1572, 2014.
Article
in Ko
| WPRIM
| ID: wpr-13569
Responsible library:
WPRO
ABSTRACT
PURPOSE: We present a case of a patient with optic neuritis who had underlying suspicious idiopathic thrombocytopenic purpura. CASE SUMMARY: 35-year-old female with no other systemic disease visited our clinic due to acutely decreased visual acuity in her left eye 10 days in duration. Relative afferent pupillary defect was observed, but without definite papilledema. Based on brain magnetic resonance imaging (MRI), optic neuritis was suspected. Laboratory tests showed increased red blood cells, hemoglobin and, hematocrit levels and decreased platelets. Peripheral blood smear test showed decreased platelets, relative lymphocytosis and atypical lymphocytes. Specific antibodies for autoimmune disease were not present. High-dose steroid pulse therapy (methyl prednisolone 1.0 g/d, 3 days) was started. One month after treatment her visual acuity and platelet count recovered and her visual field defect improved.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Platelet Count
/
Autoimmune Diseases
/
Brain
/
Prednisolone
/
Magnetic Resonance Imaging
/
Lymphocytes
/
Visual Acuity
/
Visual Fields
/
Optic Neuritis
/
Papilledema
Limits:
Adult
/
Female
/
Humans
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2014
Document type:
Article