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Diagnosis and treatment of optic neuritis as a manifestation of persistent herpesvirus infection: a clinical case

Authors :
J. Y. Issakhanova
A. K. Duisenova
A. Zh. Kurmasheva
D. E. Zhumabek
Source :
Российский офтальмологический журнал, Vol 17, Iss 2, Pp 93-98 (2024)
Publication Year :
2024
Publisher :
Real Time Ltd, 2024.

Abstract

A clinical case of bilateral descending optic neuritis in a 63-year-old patient is presented. The patient, whose age is beyond the normal limit for this pathology, was previously treated for neuritis of the right eye, which had no effect and led to a complete atrophy of the optic nerve (ON). A timely correct diagnostics of the left eye, which revealed structural disorders of the optic nerve accompanied by inflammatory viral changes of brain tissue, was a key factor in choosing an adequate treatment, which helped retain visual functions. The clinical observation illustrates the polyetiological nature of inflammation of the ON, the viral agent playing a leading role. Importantly, ophthalmic manifestations of the herpesvirus infection may remain the only sign of this pathology for a long time, so the ophthalmologist must always be on the alert regarding the viral genesis of the disease.

Details

Language :
Russian
ISSN :
20720076 and 25875760
Volume :
17
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Российский офтальмологический журнал
Publication Type :
Academic Journal
Accession number :
edsdoj.8639849d9d4e48a58b3c3720a2b0c349
Document Type :
article
Full Text :
https://doi.org/10.21516/2072-0076-2024-17-2-93-98