A 25-year-old male presented with sudden onset painful loss of vision in his right eye (RE) 7 days after penetrating trauma to the left eye. The patient had a scleral tear with uveal tissue prolapse, which had been repaired elsewhere. Clinical and imaging studies led to a diagnosis of retrobulbar neuritis in the RE. There was a prompt response to systemic steroids, with vision returning to normal in the RE following initiation of steroid treatment. Such a clinical presentation of optic neuritis following ocular trauma in the contralateral eye is extremely rare.
Panigrahi et al. (Wed,) studied this question.