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September 1986

Bilateral Acute Retrobulbar Optic Neuropathy Associated With Epidemic Keratoconjunctivitis in a Compromised Host

Author Affiliations

Petah Tiqva, Israel

Arch Ophthalmol. 1986;104(9):1271-1272. doi:10.1001/archopht.1986.01050210025004

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To the Editor.  —Optic neuropathy has been described in viral diseases such as measles, mumps, chicken pox, rubella, influenza, after influenza vaccination, poliomyelitis, coxsackie virus infection, psittacosis, herpes zoster, infectious mononucleosis, pertussis, and disseminated encephalomyelitis that may accompany viral illness.1,2 The possibility of optic neuropathy associated with the viral epidemic keratoconjunctivitis is less known. In this context we found in the literature only the article by Benko and Sipos,3 who, in the winter of 1963, observed three cases of optic neuritis among 200 cases of epidemic keratoconjunctivitis which they studied. Since then, we are not aware of another publication of a similar complication of this viral disease.

Report of a Case.  —A 41-year-old man developed steroid-induced cataracts and was successfully operated on in January 1985, two years after a kidney transplant and daily treatment with 150 mg of azathioprine sodium and 15 mg of prednisone. As a

Glaser IJ: Neuro-ophthalmology . New York, Harper & Row Publishers Inc, 1978, pp 104-112.
Miller NR (ed): Walsh and Hoyt's Clinical Neuro-ophthalmology . Baltimore, Williams & Wilkins, 1982.
Benko E, Sipos I:  Einige Falle von Opticus-Neuritis als begleiterscheinung der Kerato-Conjunctivitis Epidemica . Ophthalmologica 1963; 146:83-86.Article