Neuritis óptica inflamatoria recurrente crónica.Caso clínico y revisión bibliográfica
- Candelaria Pinto Herrera
- E. Santos Bueso
- J. Porta-Etessam
- MJ Vinuesa Silva
- J García Sánchez
ISSN: 0211-2698
Year of publication: 2017
Issue: 28
Pages: 105-109
Type: Article
More publications in: Archivos de la Sociedad Canaria de Oftalmología
Abstract
Introduction: Chronic recurrent inflammatory optic neuritis (CRION) is a recently described entity which is not associated with systemic diseases, characterized by ocular pain and decreased visual acuity (VA). It responds rapidly to corticosteroids (CC), and symptoms reappear when CC dosage is lowered. Case report: 25-year-old woman having undergone 6 episodes of optic neuritis (ON) in the left eye (LE) in 5 years, characterized by headache, painful motility and decreased VA. ON is controlled by means of intravenous corticosteroids (CC) and oral CC in a descending pattern, with the symptomatology reappearing as the dose decreases. Once autoimmune, infectious and demyelinating etiologies are ruled out, CRION is diagnosed by exclusion. Currently, the patient is asymptomatic with oral CC every 48 hours. Discussion: Early diagnosis is extremely important because, when CC are prescribed, the symptomatology of ON improves rapidly and this treatment helps to maintain long remission periods, avoiding possible visual sequelae