It is widely known that in children, optic neuritis usually occurs following a febrile illness, tend to affect both eyes and frequently associated with swollen discs with good visual outcomes. We report a case of a 17 -year -old girl who presented with 3 days history of blurred vision in right eye and pain with eye movements. Slit lamp examination was normal. Fundoscopy of right eye showed blurred disc margins with haemorrhages on its margin, torturous vessels and foveal reflex dull. Investigative work up for infectious, autoimmune, and neoplastic was negative. Magnetic resonance imaging (MRI) of the brain and orbit was normal with a high T2 signal. A diagnosis of papillitis was made and patient was started on intravenous methylprednisolone for 3 days, followed by oral prednisolone for 14 days. She had excellent visual recovery and remained asymptomatic for 1 year.
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Aggarwal et al. (2024) studied this question.
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