Title |
Bilateral isolated retrobulbar optic neuropathy in limited Wegener's granulomatosis. |
Creator |
Belde, C.J.; Hamed, L.M.; Mancuso, A.A. |
Affiliation |
Department of Ophthalmology, University of Florida College of Medicine, Gainesville. |
Abstract |
Wegener's granulomatosis causes a variety of ophthalmologic disorders, some of which occasionally constitute the initial presentation of the disease. We describe a patient who presented with bilateral, isolated, consecutive, posterior optic neuropathy with light perception and no light perception vision. The patient had no other symptoms or signs of orbital disease. Investigations revealed cavitary lung lesions, positive antineutrophilic cytoplasmic antibody (ANCA) titers, subtle focal enhancement of the intracanalicular optic nerves on magnetic resonance imaging, and a confirmatory bronchial biopsy. This exceedingly rare ocular presentation of Wegener's granulomatosis may pose a diagnostic quandary. |
Subject |
Cyclophosphamide; Female; Humans; Magnetic Resonance Imaging; Methylprednisolone; Middle Older people; Optic Nerve Diseases; Orbit; Vision Disorders; Visual Perception; Wegener Granulomatosis |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
225862 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6k96dm6/225862 |