Optic Nerve Injury in a Patient with Chronic Allergic Conjunctivitis
Joint Authors
Hazin, Ribhi
Elia, Christopher J.
Putruss, Maria
Bazzi, Amanda
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-15
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Manipulation of the optic nerve can lead to irreversible vision changes.
We present a patient with a past medical history of skin allergy and allergic conjunctivitis (AC) who presented with insidious unexplained unilateral vision loss.
Physical exam revealed significant blepharospasm, mild lid edema, bulbar conjunctival hyperemia, afferent pupillary defect, and slight papillary hypertrophy.
Slit lamp examination demonstrated superior and inferior conjunctival scarring as well as superior corneal scarring but no signs of external trauma or neurological damage were noted.
Conjunctival cultures and cytologic evaluation demonstrated significant eosinophilic infiltration.
Subsequent ophthalmoscopic examination revealed optic nerve atrophy.
Upon further questioning, the patient admitted to vigorous itching of the affected eye for many months.
Given the presenting symptoms, history, and negative ophthalmological workup, it was determined that the optic nerve atrophy was likely secondary to digital pressure from vigorous itching.
Although AC can be a significant source of decreased vision via corneal ulceration, no reported cases have ever described AC-induced vision loss of this degree from vigorous itching and chronic pressure leading to optic nerve damage.
Despite being self-limiting in nature, allergic conjunctivitis should be properly managed as extreme cases can result in mechanical compression of the optic nerve and compromise vision.
American Psychological Association (APA)
Hazin, Ribhi& Elia, Christopher J.& Putruss, Maria& Bazzi, Amanda. 2014. Optic Nerve Injury in a Patient with Chronic Allergic Conjunctivitis. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017315
Modern Language Association (MLA)
Hazin, Ribhi…[et al.]. Optic Nerve Injury in a Patient with Chronic Allergic Conjunctivitis. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017315
American Medical Association (AMA)
Hazin, Ribhi& Elia, Christopher J.& Putruss, Maria& Bazzi, Amanda. Optic Nerve Injury in a Patient with Chronic Allergic Conjunctivitis. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017315
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017315