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Atypical anterior optic neuropathy caused by toxoplasmosis
- Source :
- American Journal of Ophthalmology. 133:162-164
- Publication Year :
- 2002
- Publisher :
- Elsevier BV, 2002.
-
Abstract
- PURPOSE: To report atypical anterior optic neuropathy due to toxoplasmosis. METHODS: Interventional case report. A 33-year-old male presented with sudden painless loss of vision and floaters in the right eye. Examination demonstrated a best-corrected visual acuity of 20/200, optic nerve head edema, retinal hemorrhages, and vitreous opacities. RESULTS: Nine days later, a granuloma at the optic nerve head was apparent, and the patient was treated with pyrimethamine, sulfadiazine, folinic acid, and prednisone. Six weeks after initiating therapy, best-corrected visual acuity had improved to 20/25. CONCLUSION: Optic nerve involvement in toxoplasmosis is uncommon and, when it occurs, usually presents with a white inflammatory mass on the optic disk. The current case demonstrates the importance of including toxoplasmosis in the differential diagnosis of unilateral anterior optic neuropathy, even if a focal inflammatory mass is not apparent.
- Subjects :
- Adult
Male
medicine.medical_specialty
Visual acuity
Eye Diseases
genetic structures
Eye disease
Antiprotozoal Agents
Visual Acuity
Optic disk
Optic neuropathy
Ophthalmology
medicine
Humans
Cranial nerve disease
Fluorescein Angiography
Toxoplasmosis, Ocular
Granuloma
business.industry
Retinal Hemorrhage
medicine.disease
eye diseases
Toxoplasmosis
Surgery
Vitreous Body
Optic nerve
Drug Therapy, Combination
sense organs
medicine.symptom
Differential diagnosis
business
Papilledema
Subjects
Details
- ISSN :
- 00029394
- Volume :
- 133
- Database :
- OpenAIRE
- Journal :
- American Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....d923c5206cc361b12036dd407408f171