Simultaneous Presentation of Uveitic Disc Edema and Papilledema in an Adult.
Journal
Case reports in ophthalmological medicine
ISSN: 2090-6722
Titre abrégé: Case Rep Ophthalmol Med
Pays: United States
ID NLM: 101581018
Informations de publication
Date de publication:
2020
2020
Historique:
received:
02
04
2020
revised:
30
05
2020
accepted:
08
06
2020
entrez:
30
7
2020
pubmed:
30
7
2020
medline:
30
7
2020
Statut:
epublish
Résumé
To present a case of simultaneous uveitic disc edema and increased intracranial pressure (IICP) in an adult. Retrospective case report. Laboratory workup was negative for infectious and systemic inflammatory causes of uveitis. Computed Tomography scan of the chest was negative for Sarcoidosis. Magnetic Resonance Imaging of the brain and orbits revealed a partially empty sella, bilateral posterior globe flattening without optic nerve sheath enhancement, masses, white matter lesions, or meningeal enhancement. Cerebral Magnetic Resonance Venography showed narrowing of the right and left transverse sinuses without thromboses. Prednisone was initiated for the uveitis which improved the vision but caused weight gain. Neurology evaluation with a lumbar puncture in the lateral decubitus position revealed elevated opening pressure and otherwise normal cerebrospinal fluid. Ocular ultrasonography was considered but not available to measure optic nerve sheath diameter. Oral acetazolamide 1000 mg twice daily was started for papilledema as prednisone was tapered. Periocular steroid and intravitreal bevacizumab injections were used for sight threatening cystoid macular edema and choroidal neovascularization, respectively.
Identifiants
pubmed: 32724689
doi: 10.1155/2020/8829124
pmc: PMC7366227
doi:
Types de publication
Case Reports
Langues
eng
Pagination
8829124Informations de copyright
Copyright © 2020 Chase A. Liaboe et al.
Déclaration de conflit d'intérêts
None of the authors have any financial or proprietary interests or conflicts related to the work presented in this manuscript. This work was completed as part of employment with the University of Minnesota.
Références
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