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Bilateral multifocal chorioretinitis and optic neuritis due to epstein‐barr virus; a case report.
Author(s) -
CHATZIRALLI I,
PARIKAKIS E,
PEPONIS V,
DRAKOS E,
MITROPOULOS P
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.f087.x
Subject(s) - medicine , chorioretinitis , optic neuritis , ophthalmology , optic nerve , visual acuity , fluorescein angiography , papilledema , intraocular pressure , retina , multiple sclerosis , physics , psychiatry , optics
Purpose Only few cases of Epstein‐Barr virus (EBV) involving the retina or the optic nerve have been reported. Our purpose was to report a case of bilateral chorioretinitis and optic neuritis due to EBV. Methods A 67‐year‐old man with no previous ocular history presented with decreased vision in both eyes since two months. The patient underwent a thorough ophthalmological examination, including visual acuity measurement by means of Snellen charts, slit‐lamp examination, intraocular pressure (IOP) measurement and dilated fundoscopy. His past medical history included EBV encephalopathy, which was confirmed serologically, few months before. Results At presentation, his best corrected visual acuity (BCVA) was 6/60 in the right eye and hand movement in the left eye. The anterior segment was totally normal and IOP was normal in both eyes as well. Dilated fundoscopy revealed multiple, well‐demarcated, gray to white areas of retinal atrophy involving predominantly the periphery in the right eye and the macula in the left eye. Of note, all lesions were on the pathway of retinal vessels. Bilateral chorioretinitis and optic neuritis were confirmed by fluorescein angiography as well as electrophysiological tests and presumed to be due to EBV. Conclusion It is very important to include EBV in the differential diagnosis of chorioretinal atrophic lesions. Clinicians should be aware of ocular manifestations of EBV, in order to suggest ophthalmological examination and start treatment promptly before irreversible damage of the optic nerve or retina.