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Bilateral Retinal and Lateral Geniculate Nucleus Infarction in an Adolescent With Influenza.
Prayerna Uppal1, William P Madigan2, Jonathan Murnick3
1The School of Medicine and Health Sciences, George Washington University, Washington, District of Columbia.
Pediatric Neurology
|June 11, 2023
Summary
Influenza can cause vision loss from retinal and lateral geniculate nucleus (LGN) infarctions. This rare complication can lead to persistent, severe visual impairment, highlighting the need for prompt recognition and patient counseling.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Influenza is a common viral respiratory illness.
- Ocular complications of influenza are rare but can be severe.
- Bilateral vision loss is an uncommon presentation of influenza.
Observation:
- A case of a 13-year-old female experiencing bilateral vision loss following influenza infection.
- The vision loss was attributed to infarctions in the retina and the lateral geniculate nucleus (LGN).
- Near-total vision loss persisted in the left eye 3.5 years post-infection.
Findings:
- This represents the second reported case of bilateral retinal and LGN infarctions associated with influenza.
- The underlying mechanism causing these vascular events in influenza remains unclear.
- Visual recovery in affected individuals may be limited.
Implications:
- Highlights a rare but serious neurological complication of influenza affecting vision.
- Emphasizes the importance of considering influenza as a potential cause of sudden bilateral vision loss.
- Underscores the need for early diagnosis and appropriate counseling regarding potential long-term visual deficits.
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