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Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

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...
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

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Case report: HLA-B35-associated optic neuritis.

Florian H Guillot1, Andrew R Carey1

  • 1Division of Neuro-Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

Frontiers in Ophthalmology
|December 6, 2024
PubMed
Summary

A rare case of optic neuritis linked to HLA-B35 was observed. This finding suggests exploring human leukocyte antigen (HLA) testing for unusual optic neuritis presentations.

Keywords:
Behçets diseaseHLA-B35human leukocyte antigenoptic neuritisoptic neuropathy

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Area of Science:

  • Ophthalmology
  • Immunogenetics

Background:

  • Optic neuritis is an inflammatory condition affecting the optic nerve.
  • Human Leukocyte Antigen (HLA) associations are known for various autoimmune and inflammatory diseases.

Observation:

  • A patient presented with unilateral retro-orbital pain, decreased vision, optic disc edema, and new-onset aphthous ulcers.
  • Diagnostic imaging revealed retrobulbar optic nerve enhancement.
  • Genetic testing identified the presence of HLA-B35.

Findings:

  • The patient's symptoms resolved rapidly with high-dose oral steroids.
  • The patient remained clinically stable for at least two months post-treatment.
  • A unique association between optic neuritis and HLA-B35 positivity was established in this case.

Implications:

  • The human leukocyte antigen (HLA)-B35 allele may be a risk factor for specific presentations of optic neuritis.
  • This case underscores the importance of considering HLA testing in atypical optic neuritis cases.
  • Further research into genetic factors influencing optic neuritis is warranted.