Tawengi Mohamed M, Fael Mohamad, Hourani Rizeq F, Alyaarabi Tamader, Tawengi Abdelaziz M, Alfitori Gamal
College of Medicine, Qatar University, Doha, Qatar.
Department of Internal Medicine, Hamad General Hospital, Doha, Qatar.
Int Med Case Rep J. 2024 Jul 8;17:665-669. doi: 10.2147/IMCRJ.S460611. eCollection 2024.
Optic perineuritis is an inflammatory condition that presents with reduced visual acuity and painful eye movement. The presentation of optic perineuritis is similar of optic neuritis which results in delayed diagnosis and management. Up to this date, we found a single case of optic neuritis that presented with transient monocular vision loss (TMVL). No cases of optic perineuritis were associated with TMVL. Here, we report a case of a 30-year-old woman who presented with recurrent attacks of painless vision loss in her left eye, reaching up to 30 attacks per day. Ophthalmological examination was otherwise unremarkable. Lab investigations were normal. Magnetic resonance imaging was done, which showed left optic nerve sheath enhancement suggestive of left-sided focal optic perineuritis. Patient was managed with 1 mg IV methylprednisolone for 3 days. We report this case to shed light on the importance of accurate and early diagnosis of optic perineuritis presenting with TMVL. Prompt management of optic perineuritis is crucial in reducing morbidity and risk of relapse.
视神经周围炎是一种炎症性疾病，表现为视力下降和眼球运动疼痛。视神经周围炎的表现与视神经炎相似，这导致诊断和治疗延迟。截至目前，我们发现一例视神经炎表现为短暂性单眼视力丧失（TMVL）。尚无视神经周围炎与TMVL相关的病例。在此，我们报告一例30岁女性，她左眼反复出现无痛性视力丧失发作，每天多达30次。眼科检查其他方面无异常。实验室检查正常。进行了磁共振成像，显示左侧视神经鞘强化，提示左侧局灶性视神经周围炎。患者接受了3天静脉注射1毫克甲泼尼龙的治疗。我们报告此病例以阐明准确早期诊断伴有TMVL的视神经周围炎的重要性。对视神经炎进行及时治疗对于降低发病率和复发风险至关重要。
