Ferreira R C, Phan G, Bateman J B
Department of Ophthalmology, Children's Hospital, University of Colorado, Denver, USA.
Am J Ophthalmol. 1997 Oct;124(4):558-60. doi: 10.1016/s0002-9394(14)70877-3.
To describe an unusual, favorable visual outcome in a patient with lupus erythematosus and cryptococcal meningitis and to present bilateral superior oblique muscle paresis.
Case report. A 15-year-old girl with lupus erythematosus and cryptococcal meningitis had bilateral superior oblique paresis, bilateral optic nerve head swelling, and increased intracranial pressure. She developed a visual acuity of no light perception in the right eye.
Treatment with oral fluconazole, acetazolamide, and dexamethasone, as well as repeated lumbar punctures to reduce intracranial pressure, was followed by recovery to a visual acuity of 20/20 in both eyes and normal ocular motility.
With appropriate treatment, visual loss associated with cryptococcal meningitis may have a favorable outcome.
描述一名患有红斑狼疮和隐球菌性脑膜炎患者不寻常的良好视觉预后，并呈现双侧上斜肌麻痹。
病例报告。一名15岁患有红斑狼疮和隐球菌性脑膜炎的女孩出现双侧上斜肌麻痹、双侧视神经乳头肿胀及颅内压升高。她右眼视力下降至无光感。
口服氟康唑、乙酰唑胺和地塞米松治疗，以及反复腰椎穿刺以降低颅内压后，双眼视力恢复至20/20，眼球运动正常。
通过适当治疗，与隐球菌性脑膜炎相关的视力丧失可能有良好预后。
