Retina-Vitreous
2011 , Vol 19 , Num 2
A Case of Bilateral Papilloedema and Left Abducens Nerve Palsy on the Base of Brucella Infection
1Aydın Atatürk Devlet Hastanesi, Göz Hastalıkları Kliniği, Aydın, Uzm. Dr.2Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., İzmir, Prof. Dr
3Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., İzmir, Doç. Dr.
4Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., İzmir, Uzm. Dr. Best corrected visual acuity of a 19-year-old female patient, who was referred to our clinic with decreased visual acuity and diplopia complaints while being treated with antibrucella therapy, was 10/10 in the right eye and 8/10 in the left eye with the Snellen acuity chart. The anterior segment evaluation and intraocular pressure levels were bilaterally normal. The fundus examination revealed bilateral obscuration of the optic disc (OD) margins and swelling and peripapillary retinal splinter-shaped haemorrhages. There were intravitreal haemorrhage cells in the right eye. She had 15° esodeviation and lateral gaze palsy in the left eye. Bilateral best corrected visual acuity returned to 10/10 with antibrucella and corticosteroid therapy, and the diplopia, lateral gaze palsy, and tropia resolved. Right OD margins were distinct, but left OD margins were still indistinct during the fundoscopic examination. Papilloedema and abducens nerve palsy can be seen due to central nervous system involvement on the base of Brucella infection, and with antibrucella therapy and high dose corticosteroid therapy ophthalmological findings can return to normal. Keywords : Brucella infection, papilloedema, abducens nerve palsy