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Neuro-ophthalmology of Infectious Diseases.

Aastha Takkar1, Karthik V Mahesh, Ritu Shree

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Summary

Infections can cause serious neuro-ophthalmic issues, affecting vision and brain function. Prompt diagnosis through clinical details, imaging, and lab tests is crucial for managing these diverse conditions.

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Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Ophthalmology

Background:

  • Infections, including sepsis, contribute to over 20% of global mortality and significant morbidity.
  • Neuro-ophthalmic manifestations are common in various infections, presenting heterogeneous clinical profiles.
  • Management of infectious neuro-ophthalmic diseases is challenging due to diverse causative agents and presentations.

Purpose of the Study:

  • To review the key neuro-ophthalmic manifestations of common infectious agents.
  • To highlight the expanding spectrum of infectious neuro-ophthalmic diseases.
  • To emphasize the importance of prompt diagnosis in managing these conditions.

Main Methods:

  • Comprehensive literature search of electronic databases (PubMed, MEDLINE, Scopus, Embase).
  • Review of available literature on infectious agents and their neuro-ophthalmic complications.
  • Inclusion of authors' personal clinical experience.

Main Results:

  • Detailed description of neuro-ophthalmic manifestations in bacterial, fungal, viral, parasitic, and protozoal infections.
  • Illustrative examples provided for common infections.
  • Discussion of direct invasion, inflammation, vascular compromise, and demyelination as mechanisms of damage.

Conclusions:

  • Infections impact visual pathways and processing, directly or indirectly.
  • Expanding global migration necessitates awareness of a broader range of infectious neuro-ophthalmic diseases.
  • Prompt diagnosis relies on clinical evaluation, imaging, and laboratory confirmation.