Bilateral Optic Neuritis in a Patient with Enteric Fever: A Case Report

Authors

  • Sundip Dware Chhetri Department of Ophthalmology, Nepal Armed Police Force Hospital, Balambu, Kathmandu, Nepal https://orcid.org/0009-0003-7344-0576
  • Keepa Vaidya Department of Neuro-ophthalmology, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
  • Suman Lamichhane Department of Radiology and Imaging, Nepal Armed Police Force Hospital, Balambu, Kathmandu, Nepal
  • Sudeep Lal Rajbhandari Lamahi Eye Hospital, Deukhuri, Dang, Nepal
  • Shailendra Katwal Department of Radiology, Dadeldhura Subregional Hospital, Amargadhi, Dadeldhura, Nepal

DOI:

https://doi.org/10.3126/nepjoph.v15i2.55281

Keywords:

Bilateral optic neuritis, enteric fever, magnetic resonance imaging, steroid

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.

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Published

2023-12-31

How to Cite

Chhetri, S. D., Vaidya, K., Lamichhane, S., Rajbhandari, S. L., & Katwal, S. (2023). Bilateral Optic Neuritis in a Patient with Enteric Fever: A Case Report. Nepalese Journal of Ophthalmology, 15(2), 80–83. https://doi.org/10.3126/nepjoph.v15i2.55281

Issue

Vol. 15 No. 2 (2023)

Section

Case Reports

License

Copyright (c) 2023 Nepalese Journal of Ophthalmology

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