Not everything is ischemic optic neuropathy.

Autor: Hernández RF; Department of Ophthalmology, Consorci Parc de Salut Mar de Barcelona, Barcelona, Spain. Electronic address: rfernandezhernandez@psmar.cat., Rodriguez JEM; Servei de Neurología, Hospital del Mar Research Institute, Barcelona, Spain., Trecu MS; Department of NeuroOphthalmology, Consorci Parc de Salut Mar de Barcelona, Barcelona, Spain., Bhatti MT; The Permanente Medical Group. Department of Ophthalmology, Kaiser Permanente-Northern California, Roseville, CA, USA.
Jazyk: angličtina
Zdroj: Survey of ophthalmology [Surv Ophthalmol] 2024 Nov-Dec; Vol. 69 (6), pp. 984-989. Date of Electronic Publication: 2024 May 23.
DOI: 10.1016/j.survophthal.2024.05.005
Abstrakt: A 71-year-old woman developed sudden, painful, decreased vision in the left eye accompanied by progressive instability. Initial examination revealed left optic disc edema, and macular optical coherence tomography confirmed the presence of intraretinal and subretinal fluid, as well as hyperreflective material under the retinal pigment epithelium. Subsequent investigations, including brain magnetic resonance imaging and a comprehensive serological analysis, ruled out infectious and autoimmune causes, further complicating the diagnostic picture. The patient's vision in both eyes continued to deteriorate, prompting empirical corticosteroid treatment. While the vision improved, the case took an unexpected turn with worsening neurological symptoms. Ultimately a brain biopsy was consistent with diffuse large B-cell lymphoma.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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