Optic Neuritis Accompanied by Optic Perineuritis after Peribulbar Retinalamin Injection
- Authors
- Lee, Gyeong Min; Ha, Seung Joo
- Issue Date
- Jun-2019
- Publisher
- 대한안과학회
- Keywords
- Donut sign; Optic neuritis; Optic perineuritis; Retinalamin; Tram track sign
- Citation
- 대한안과학회지, v.60, no.6, pp 600 - 605
- Pages
- 6
- Journal Title
- 대한안과학회지
- Volume
- 60
- Number
- 6
- Start Page
- 600
- End Page
- 605
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4500
- DOI
- 10.3341/jkos.2019.60.6.600
- ISSN
- 0378-6471
2092-9374
- Abstract
- Purpose: To report a case of optic neuritis accompanied by optic perineuritis after retinalamin peribulbar injection. Case summary: A 46-year-old Kazakhstan woman presented with sudden vision loss, headache, and pain in both eyes which began 2 hours after the peribulbar injection of retinalamin approximately 10 days prior to her initial visit. At the initial visit, the best-corrected visual acuity was light perception in both eyes. A fundus examination showed bilateral optic disc swelling and fluorescein angiography showed late-phase leakage around the optic nerve and optic nerve sheath enhancement. On brain magnetic resonance imaging, the tram track sign and donut sign were seen in both eyes. Steroid pulse therapy was started after the diagnosis of optic neuritis accompanied by optic perineuritis. After 6 months, the patient's visual acuity improved up to 0.8 in the right eye and 1.0 in the left eye. The light reflex was recovered, the relative afferent pupillary defect decreased, and there was no evidence of optic disc swelling. Conclusions: When an unverified drug injection is performed (e.g., retinalamin), it could result in complications such as optic neuritis and optic perineuritis from an allergic reaction or peribulbar injection trauma. In such cases, high-dose steroid pulse therapy may be considered.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Ophthalmology > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4500)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.