J Korean Ophthalmol Soc.
2002 Sep;43(9):1816-1820.
Bilateral Optic Neuritis Following Measles
- Affiliations
-
- 1Department of Ophthalmology, Kangnam St. Mary's Hospital, Korea.
- 2Sungka Hospital, College of Medicine, The Catholic University of Korea. nyeokang@hanmail.net
- 3Department of Pediatrics, St. Vincent's Hospital, College of Medicine,The Catholic University of Korea.
Abstract
-
PURPOSE: We report a case of bilateral optic neuritis without encephalomyelitis, following measles that has recently spread in our country.
METHODS
Nine-year-old male patient diagnosed as measles based on the typical symptoms and serum IgM positivity complained of sudden decrease in visual acuity of both eyes (FC/50 Cm in both eyes). Bilateral afferent pupillary defect were detected and visual evoked potentials show the delayed P100 latency and the decreased amplitude in both eyes. We diagnosed his case as the bilateral optic neuritis and treated with the high dose steroid therapy.
RESULTS
At 2 months after visual loss, the afferent pupillary defect disappeared and the visual evoked potentials returned to normal. At 6 month, the visual acuity of the right and left eyes improved to 0.9 and 1.0, respectively.
CONCLUSION
Optic neuritis following measles is a rare entity, and it is the first time such a case has been reported in Korea. This is a rare case where optic neuritis occurred without the symptoms or signs of encephalitis. In this study, we diagnosed and treated the first case of optic neuritis following measles in korea, with satisfactory results.
