Bilateral Retrobulbar HIV Optic Neuritis
Journal Title: Journal of Clinical Research and Ophthalmology - Year 2015, Vol 2, Issue 2
Abstract
Purpose: The purpose of this report is to present a case of bilateral HIV optic neuropathy. Methods: We describe a case of completely loss of visual acuity in the left eye (LE) and partially in the right eye (RE) in a 25-year-old Woman with HIV infection without treatment. Results: The patient presented with visual acuity of 20/200 in the RE and amaurosis in the LE. The optic nerves showed bilateral optic disc pallor and atrophic, with more pallor LE than RE. Magnetic resonance imaging scan (MRI) showed diffuse enhancement of the bilateral optic nerves post-contrast. There was no other ocular symptom, and no evidence of retinopathy. Serological tests were only positive for HIV. Conclusions: Ophthalmologists have the opportunity to play a key role in the diagnosis and management of this disease, important for a good visual outcome. Human immunodeficiency virus infection should be considered in the differential diagnosis of optic neuritis.
Authors and Affiliations
Asensio-Sánchez VM, Labrador- Velandia S
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