[Optic nerve infarction in Sneddon's syndrome].
P Romera Romero1, A Monés Llivina1, A Blazquez Abisu1
1Departamento de Oftalmología, sección de neuroftalmología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
Archivos De La Sociedad Espanola De Oftalmologia
|December 23, 2014
Summary
This case study details optic nerve infarction in Sneddon's syndrome, a rare vasculitis. It highlights a unique presentation of this condition, expanding our understanding of its potential manifestations.
Area of Science:
- Vascular Neurology
- Ophthalmology
- Rheumatology
Background:
- Sneddon's syndrome is a rare, non-inflammatory vasculopathy characterized by persistent livedo reticularis and recurrent ischemic cerebrovascular events.
- While neurological symptoms and retinal infarctions are known complications, optic nerve involvement is exceptionally rare.
Observation:
- A 26-year-old woman with a history of Raynaud's phenomenon and livedo reticularis presented with visual field defects, hypertension, hematuria, and headache.
- Ophthalmic examination revealed multiple retinal and optic nerve head infarcts in both eyes.
Findings:
- This case represents the first documented instance of Sneddon's syndrome presenting with optic nerve infarction.
- The patient's presentation underscores the diverse and potentially severe ocular manifestations of Sneddon's syndrome.
Implications:
- This finding expands the spectrum of Sneddon's syndrome, emphasizing the need for ophthalmologic evaluation in affected patients.
- Early recognition and management are crucial to prevent irreversible vision loss and systemic complications associated with this vasculitis.
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