Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8719364 | The Journal of Emergency Medicine | 2018 | 4 Pages |
Abstract
NSOI is a rare and idiopathic ocular emergency, with clinical mimicry resembling a broad spectrum of systemic diseases such as malignancy, autoimmune diseases, endocrine disorders, and infection. Initial work-up for new-onset ocular proptosis should include comprehensive laboratory testing and gadolinium-enhanced magnetic resonance imaging. Timely evaluation by an ophthalmologist is crucial to assess for optic nerve involvement. Signs of optic nerve compromise include decreased visual acuity, afferent pupillary defect, or decreased color saturation. Patients with optic nerve compromise require admission for aggressive anti-inflammatory therapy with i.v. steroids in an attempt to reduce risk of long-term visual sequelae. Our case demonstrates a severe presentation of this disorder and exhibits remarkable visual recovery after 48Â h of systemic i.v. steroid treatment.
Keywords
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Emergency Medicine
Authors
Xiao Chi MD, MS, Brittney MD, Selim MD, MS, Maureen MD, David MD, PhD, Michael E. MD, FACS,