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April 1981

Pars Planitis—A Demyelinating Disease?

Author Affiliations

Piscataway, NJ

Arch Ophthalmol. 1981;99(4):697. doi:10.1001/archopht.1981.03930010697023

To the Editor.  —Pars planitis is a form of anterior uveitis, the cause of which is not known. In a few patients, neurologic disorders resembling multiple sclerosis develop, and this frequency has been estimated at between 1% to 16%.1,2 Since a variety of CSF biomarkers—including myelin basic protein and oligoclonal banding—are often used to assist in the diagnosis of multiple sclerosis, the association between pars planitis and multiple sclerosis (MS), or other neuroimmunologic disorders, might be pursued by measuring biomarkers in the CSF of selected patients with pars planitis.

Report of a Case.  —A 28-year-old woman was in good health until June 1978, when she noted a scotoma in the left visual field. Complete loss of visual acuity followed within two months and bilateral scotomata during the following year. Visual acuity in September 1979 was 20/200 bilaterally. Funduscopic examination showed cystoid spaces in the maculae, and a fluorescein sodium

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