Journal of the Korean Ophthalmological Society 2002;43(9):1816-1820.
Published online September 1, 2002.
Bilateral Optic Neuritis Following Measles.
Tae Seok Kim, Jong Hyun Kim, Nam Yeo Kang
1Department of Ophthalmology, Kangnam St. Mary's Hospital, Korea.
2Sungka Hospital, College of Medicine, The Catholic University of Korea. nyeokang@hanmail.net
3Department of Pediatrics, St. Vincent's Hospital, College of Medicine,The Catholic University of Korea.
홍역으로 인한 양안 시신경염 1례
김태석 ( Tae Seok Kim ) , 김종현 ( Jong Hyun Kim ) , 강남여 ( Nam Yeo Kang )
Abstract
PURPOSE
We report a case of bilateral optic neuritis without encephalomyelitis, following measles that has recently spread in our country. METHODS: Nine-year-old male patient diagnosed as measles based on the typical symptoms and serum IgM positivity complained of sudden decrease in visual acuity of both eyes (FC/50 Cm in both eyes). Bilateral afferent pupillary defect were detected and visual evoked potentials show the delayed P100 latency and the decreased amplitude in both eyes. We diagnosed his case as the bilateral optic neuritis and treated with the high dose steroid therapy. RESULTS: At 2 months after visual loss, the afferent pupillary defect disappeared and the visual evoked potentials returned to normal. At 6 month, the visual acuity of the right and left eyes improved to 0.9 and 1.0, respectively. CONCLUSION: Optic neuritis following measles is a rare entity, and it is the first time such a case has been reported in Korea. This is a rare case where optic neuritis occurred without the symptoms or signs of encephalitis. In this study, we diagnosed and treated the first case of optic neuritis following measles in korea, with satisfactory results.
Key Words: Measles;Bilateral optic neuritis


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