Open AccessStaphylococcus aureus Infection of the Optic Nerve
Author(s) -
Senad Osmanovic,
Omar Al-Heeti,
Amy Lin,
Sean P. Zivin,
Julie Ann Justo,
Stockton Mayer,
Vinay K. Aakalu,
Heather E. Moss,
Mahesh C. Patel
Publication year - 2015
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/wno.0000000000000190
Subject(s) - enucleation , optic nerve , staphylococcus aureus , medicine , magnetic resonance imaging , abscess , pathological , biopsy , surgery , radiology , ophthalmology , pathology , biology , bacteria , genetics
A 71-year-old woman presented with painful vision loss in the right eye followed by ophthalmoplegia. Magnetic resonance imaging demonstrated optic nerve sheath enlargement and enhancement. Biopsy of the optic nerve sheath revealed purulent and necrotic material that was positive for methicillin-sensitive Staphylococcus aureus. The patient underwent enucleation of the right eye and was treated with systemic antibiotics with clinical stabilization. Imaging, pathological and treatment aspects of optic nerve sheath abscess are discussed.