Título / Title

BILATERAL RETROBULBAR NEURITIS AFTER COVID 19. CASE REPORT

Introdução / Purpose

the ethiology of retro-bulbar neuritis, in most cases it is idiopathic, but it can also be associated with other inflammatory and/or demyelinating diseases, among which the main ones are viral infections.

Material e Método / Methods

A 23-year-old woman was referred visual acuidy of counter fingers in both eyes after Covid-19 and retro-orbital pain. The treatment with Pulse Therapy with 1g of Methylprednisolone was prescribed, once a day, intravenously, for 3 consecutive days.

Resultados / Results

Total remission of visual acuity in both eyes without damage of visual field.

Discussão e Conclusões / Conclusion

Although the epidemiological and clinical information obtained through anamnesis and physical examination are suggestive of the diagnosis of optic or retrobulbar neuritis, some complementary tests are important for a better characterization of the disease, assessment of the prognosis and, mainly, for the differential diagnosis. In this case, MRI showed T2/FLAIR hypersignal in the orbital segment of the optic nerve in both eyes, associated with mild enhancement, more evident on the right, with a slight change in enhancement in the perineural fat. These findings are suggestive of optic neuritis, thus corroborating the proposed diagnostic hypothesis.

Palavras Chave

Bilateral retrobulbar neuritis covid 19

Area

CLINICAL RETINA