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Parainfectious optic neuritis in a pediatric patient with adenoviral conjunctivitis

Year 2019, Volume: 44 Issue: Supplement 1, 567 - 570, 29.12.2019
https://doi.org/10.17826/cumj.526255

Abstract

Ophthalmologic examination of a ten-year-old girl, who presented with erythema in both eyes for three days revealed conjunctival hyperemia, small petechial hemorrhages and valve edema, was diagnosed with adenoviral conjunctivitis. Congenital optic disc drusen was detected in fundus examination. Ten days later, OCT scans showed increased optic disc nerve fiber layer thickness and disc edema. Parainfection optic neuritis was considered in the patient, who had no decrease in visual acuity. In the follow-up, edema developed in the optic disc resolved spontaneously without systemic treatment. The aim of this case report is to present the development of parainfectious optic neuritis in a child with adenoviral conjunctivitis.

References

  • 1. Kaufman HE. Adenovirus advances: new diagnostic and therapeutic options. Review. Curr Opin Ophthalmol. 2011 Jul;22(4):290-3.
  • 2. Taşkapılı M, Yılmaz MB. Pediatric conjunctivitis. Turk Arch Ped 2012; 47: 240-6
  • 3. Rappoport D, Goldenberg-Cohen N, Luckman J, Leiba H. Parainfectious optic neuritis: manifestations in children vs adults. J Neuroophthalmol.2014 Jun;34(2):122-9.
  • 4. Selbst RG, Selhorst JB, Harbison JW, Myer EC. Parainfectious optic neuritis: report and review following varicella. Arch Neurol. 1983;40:347-350
  • 5. Atilla H. Çocukluk Çağı Optik Nöropatileri. Türkiye Klinikleri J Ophthalmol:Special Topics 2009;2(3):52-56
  • 6. Davis PL, Jay WM. Optic nerve head drusen.Review.Semin Ophthalmol. 2003 Dec;18(4):222-42.
  • 7. Kahloun R, Abroug N, Ksiaa I, Mahmoud A, Zeghidi H, Zaouali S et al. Infectious optic neuropathies: a clinical update. Eye Brain. 2015 Sep 28;7:59-81.
  • 8. Alagöz G, Bursalı Ö, Aksoy NÖ.Viral Konjonktivitler. Türkiye Klinikleri J Ophthalmol-Special Topics 2012;5(2): 24-30

Adenoviral konjonktivit ile başvuran çocuk hastada paraenfeksiyöz optik nevrit

Year 2019, Volume: 44 Issue: Supplement 1, 567 - 570, 29.12.2019
https://doi.org/10.17826/cumj.526255

Abstract

Üç gündür her iki gözünde kızarıklık şikayeti ile başvuran on yaşında kız çocuğun oftalmolojik muayenesinde konjonktival hiperemi, küçük peteşiyal kanamalar ve kapak ödemi tespit edilerek adenoviral konjonktivit tanısı konuldu. Hastanın fundus muayenesinde ise konjenital optik disk druzeni tespit edildi. On gün sonra yapılan OKT taramalarında optik disk sinir lifleri tabakası kalınlığı ile disk ödeminde artış gözlendi. Görme keskinliğinde azalma olmayan hastada paraenfeksiyöz optik nevrit düşünüldü. Takiplerinde optik diskte gelişen ödem, sistemik tedavi olmadan kendiliğinden geriledi. Bu olgu sunumunun amacı, adenoviral konjonktivitli bir çocukta paraenfeksiyöz optik nevrit gelişimini sunmaktır.

References

  • 1. Kaufman HE. Adenovirus advances: new diagnostic and therapeutic options. Review. Curr Opin Ophthalmol. 2011 Jul;22(4):290-3.
  • 2. Taşkapılı M, Yılmaz MB. Pediatric conjunctivitis. Turk Arch Ped 2012; 47: 240-6
  • 3. Rappoport D, Goldenberg-Cohen N, Luckman J, Leiba H. Parainfectious optic neuritis: manifestations in children vs adults. J Neuroophthalmol.2014 Jun;34(2):122-9.
  • 4. Selbst RG, Selhorst JB, Harbison JW, Myer EC. Parainfectious optic neuritis: report and review following varicella. Arch Neurol. 1983;40:347-350
  • 5. Atilla H. Çocukluk Çağı Optik Nöropatileri. Türkiye Klinikleri J Ophthalmol:Special Topics 2009;2(3):52-56
  • 6. Davis PL, Jay WM. Optic nerve head drusen.Review.Semin Ophthalmol. 2003 Dec;18(4):222-42.
  • 7. Kahloun R, Abroug N, Ksiaa I, Mahmoud A, Zeghidi H, Zaouali S et al. Infectious optic neuropathies: a clinical update. Eye Brain. 2015 Sep 28;7:59-81.
  • 8. Alagöz G, Bursalı Ö, Aksoy NÖ.Viral Konjonktivitler. Türkiye Klinikleri J Ophthalmol-Special Topics 2012;5(2): 24-30
There are 8 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Report
Authors

Handan Canan 0000-0002-5877-6536

Publication Date December 29, 2019
Acceptance Date May 17, 2019
Published in Issue Year 2019 Volume: 44 Issue: Supplement 1

Cite

MLA Canan, Handan. “Adenoviral Konjonktivit Ile başvuran çocuk Hastada paraenfeksiyöz Optik Nevrit”. Cukurova Medical Journal, vol. 44, 2019, pp. 567-70, doi:10.17826/cumj.526255.