A Tearfully Painful Darkness

A 70-year-old woman presented with new onset of left eye and facial pain. Ophthalmic and neurological examinations, MRI brain, ESR and CRP were unrevealing. A few days later she developed vision loss in her left eye. Exam revealed decreased visual acuity with a relative afferent pupillary defect in the left eye, and a diffuse mild swelling of the left optic nerve head. Repeat MRI showed T2 hyperintensity and enhancement of the intraorbital optic nerve and surrounding tissues with no other intracranial abnormalities.

Source: Survey of Ophthalmology - June 10, 2020 Category: Opthalmology Authors: Lakshmi Leishangthem, Shannon Beres, Heather E. Moss, John Chen Tags: Short review Source Type: research