Mathews Journal of Ophthalmology

2474-6932

Previous Issues Volume 7, Issue 2 - 2022

Acute Unilateral Vision Loss and Optic Perineuritis (OPN) in Geriatric Patients, a Series of Three Cases

Osama Osman1,* Julie Gammack1, Lina Toledo-Franco1, Takaaki Ishiyama2, Emily Reisenbichler3, Shamseldeen Mahmoud4, Nongnooch Poowanawittayakom5, Connor Clarkston6, Cinthia Pi7, Andrew J Polk7, Osasu N Adah7, Jillian Drogin8, Sydney O’Neal8, Sophie J Xie8

1Department of Internal Medicine, Geriatrics, Saint Louis University, Missouri, USA

2Department of Hospital Medicine, Saint Louis University, Missouri, USA

3Department of Pathology, Saint Louis University, Missouri, USA

4Department of Radiology, Saint Louis University, Missouri, USA

5Department of Infectious Diseases, Saint Louis University, Missouri, USA

6PGY-3 Internal Medicine Resident, Saint Louis University, Missouri, USA

7PGY-2 Ophthalmology Resident, Saint Louis University, Missouri, USA

8MS-3 Medical Students, Saint Louis University, Missouri, USA

*Corresponding author: Dr. Osama Osman, MD, Department of Internal Medicine, Geriatrics, Saint Louis University, USA. Phone: 4845157437; Email: [email protected]

Received Date: August 25, 2022

Published Date: October 20, 2022

Citation: Osman O, et al. (2022). Acute Unilateral Vision Loss and Optic Perineuritis (OPN) in Geriatric Patients, a Series of Three Cases. Mathews J Ophthalmol. 7(2):28.

Copyrights: Osman O, et al. © (2022).

ABSTRACT

Background: Optic Perineuritis (OPN) is an uncommon condition associated with many systemic disorders. Methods: We report three geriatric patients with acute unilateral vision loss and OPN. We also included a brief literature review pertinent to OPN. Results/Discussion: While OPN has been reported in association with many conditions such as giant cell arteritis (GCA), it is infrequently associated with mucormycosis sinusitis. Here, we presented cases of OPN associated with both GCA and mucormycosis infection of the sinuses. Conclusions: OPN is an uncommon condition that may be idiopathic or secondary to a variety of disorders. Early recognition and urgent treatment of this condition and its underlying causes are necessary to prevent permanent vision loss. Even though many different conditions can lead to OPN, overall, the prognosis of OPN remains good save for mucormycosis associated with OPN where the prognosis is generally poor.

Keywords: Optic perineuritis, Vision loss, Mucormycosis sinusitis, Giant cell arteritis

 


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