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Nepal J Ophthalmol ; 15(30): 80-83, 2023 Jul.
Article in English | MEDLINE | ID: mdl-38976339

ABSTRACT

BACKGROUND: Bilateral optic neuritis following enteric fever is a rare condition requiring early evaluation by an ophthalmologist and prompt treatment for visual rehabilitation. CASE: A 31-year-old female diagnosed with enteric fever presented to the Neuro-ophthalmology department with sudden painful loss of vision in both eyes for 10 days. OBSERVATIONS: Her Best Corrected Visual Acuity (BCVA) was counting fingers close to face in left eye and 6/18 in right eye. Posterior segment examination showed blurring of disc margin on both eyes. On Magnetic Resonance Imaging (MRI) of brain and orbit there was mild thickening of retro-orbital portions of both optic nerves. She was started on steroid therapy which resulted in marked improvement of vision in both eyes. CONCLUSION: Optic neuritis following enteric fever is a rare entity and requires early diagnosis with prompt treatment for improvement of visual acuity and prevention of visual impairment.


Subject(s)
Glucocorticoids , Magnetic Resonance Imaging , Optic Neuritis , Typhoid Fever , Visual Acuity , Humans , Optic Neuritis/diagnosis , Optic Neuritis/drug therapy , Optic Neuritis/etiology , Female , Adult , Typhoid Fever/complications , Typhoid Fever/diagnosis , Typhoid Fever/drug therapy , Glucocorticoids/therapeutic use , Optic Nerve/diagnostic imaging , Optic Nerve/pathology , Eye Infections, Bacterial/diagnosis , Eye Infections, Bacterial/complications , Eye Infections, Bacterial/drug therapy
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