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Retinal periphlebitis in multiple sclerosis

J Sherman¹, I Bodis-Wollner, F Milch

¹State University of New York State College of Optometry, New York 10010.

Journal of the American Optometric Association

|July 1, 1993

Summary

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Multiple sclerosis can present with rare ocular findings like retinal periphlebitis. This case highlights periphlebitis as an uncommon sign of multiple sclerosis (MS) that can lead to vision loss.

Area of Science:

Ophthalmology
Neurology
Medical Imaging

Background:

Multiple sclerosis (MS) presents with diverse ocular and visual symptoms.
Retinal periphlebitis, or sheathing of the veins, is an uncommon manifestation of MS.

Observation:

A 39-year-old female initially presented with visual complaints related to contrast sensitivity.
After a 4-year loss to follow-up, a diagnosis of MS was confirmed.
Ophthalmoscopic examination revealed periphlebitis and retinal hemorrhages in both eyes.

Findings:

The condition progressed, involving hemorrhages and a retinal hole in the left eye.
Further MS exacerbations resulted in bilateral centrocecal scotomas.
Mildly reduced visual acuity was noted as a consequence of MS progression.

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Implications:

Retinal periphlebitis should be considered in the differential diagnosis of patients presenting with unexplained visual disturbances.
Early recognition of such ocular signs may aid in the timely diagnosis of multiple sclerosis.
This case underscores the importance of comprehensive ophthalmoscopic evaluation in suspected neurological disorders.