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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Acute optic neuropathy in Behet disease.

N Yalcindag1, N Yilmaz, O Tekeli

  • 1Department of Ophthalmology, School of Medicine, Ankara University, Ankara - Turkey.

European Journal of Ophthalmology
|February 22, 2017
PubMed
Summary

Behçet disease can rarely cause acute optic neuropathy, leading to sudden vision loss. Prompt corticosteroid treatment can resolve ocular findings effectively.

Area of Science:

  • Ophthalmology
  • Rheumatology
  • Neuro-ophthalmology

Background:

  • Behçet disease is a rare multisystem inflammatory disorder.
  • Ocular involvement is common but acute optic neuropathy is an infrequent manifestation.

Purpose of the Study:

  • To present a case of Behçet disease with acute optic neuropathy.
  • To highlight the diagnostic and therapeutic considerations for this rare presentation.

Main Methods:

  • A 47-year-old male patient presented with sudden unilateral visual loss.
  • Comprehensive ophthalmologic and systemic examinations were conducted.
  • Treatment with high-dose corticosteroids was initiated.

Main Results:

  • The patient experienced significant visual impairment in the left eye.

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  • Funduscopic examination revealed optic disc swelling and a relative afferent pupillary defect.
  • Ocular symptoms improved within two weeks of corticosteroid therapy.
  • Conclusions:

    • Acute optic neuropathy is an uncommon but possible presentation of Behçet disease.
    • Early diagnosis and aggressive corticosteroid treatment are crucial for visual recovery.