Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis
Rheumatoid arthritis (RA) is a multisystemic autoimmune disease which can be associated with visual threatening ocular manifestations. Common ocular associations with RA include necrotising scleritis and peripheral ulcerative keratitis (PUK). Optic nerve involvement otherwise is uncommon, especially...
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Universiti Putra Malaysia Press
2022
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my.iium.irep.1131382024-07-12T05:32:35Z http://irep.iium.edu.my/113138/ Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis Nordin, Mohammad Hudzaifah Rosli, Abd Hadi Abd Bari, Muhd Syafi Masnon, Nurul Ain Wan Hitam, Wan Hazabbah RE Ophthalmology Rheumatoid arthritis (RA) is a multisystemic autoimmune disease which can be associated with visual threatening ocular manifestations. Common ocular associations with RA include necrotising scleritis and peripheral ulcerative keratitis (PUK). Optic nerve involvement otherwise is uncommon, especially as a presenting feature of RA. We report a rare case of recurrent bilateral retrobulbar optic neuritis (ON) with progressive visual deterioration as an early manifestation of seronegative RA. This case posed diagnostic and management challenges due to its unusual presentation and initially inconclusive investigations. The patient was diagnosed with seronegative RA three years after the first eye presentation. Her RA disease activity score (DAS-28) improved after treatment with a disease-modifying anti-rheumatic drugs (DMARDs), and her ON attacks have been controlled since then. However, her visual acuity, visual field and colour vision remained poor after multiple ON attacks. Multidisciplinary care is key to managing such a patient’s condition and its potential disease complications. Universiti Putra Malaysia Press 2022-03 Article PeerReviewed application/pdf en http://irep.iium.edu.my/113138/1/113138_Recurrent%20Retrobulbar%20Optic%20Neuritis%20in%20Seronegative%20Rheumatoid%20Arthritis.pdf application/pdf en http://irep.iium.edu.my/113138/7/113138_Recurrent%20Retrobulbar%20Optic%20Neuritis%20in%20Seronegative%20Rheumatoid%20Arthritis_Scopus.pdf Nordin, Mohammad Hudzaifah and Rosli, Abd Hadi and Abd Bari, Muhd Syafi and Masnon, Nurul Ain and Wan Hitam, Wan Hazabbah (2022) Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis. Malaysian Journal of Medicine and Health Sciences, 18 (2). pp. 185-187. E-ISSN 2636-9346 http://www.medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs-9255 |
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Rheumatoid arthritis (RA) is a multisystemic autoimmune disease which can be associated with visual threatening ocular manifestations. Common ocular associations with RA include necrotising scleritis and peripheral ulcerative keratitis (PUK). Optic nerve involvement otherwise is uncommon, especially as a presenting feature of RA. We report a rare case of recurrent bilateral retrobulbar optic neuritis (ON) with progressive visual deterioration as an early manifestation of seronegative RA. This case posed diagnostic and management challenges due to its unusual presentation and initially inconclusive investigations. The patient was diagnosed with seronegative RA three years after the first eye presentation. Her RA disease activity score (DAS-28) improved after treatment with a disease-modifying anti-rheumatic drugs (DMARDs), and her ON attacks have been controlled since then. However, her visual acuity, visual field and colour vision remained poor after multiple ON attacks. Multidisciplinary care is key to managing such a patient’s condition and its potential disease complications. |
format |
Article |
author |
Nordin, Mohammad Hudzaifah Rosli, Abd Hadi Abd Bari, Muhd Syafi Masnon, Nurul Ain Wan Hitam, Wan Hazabbah |
author_facet |
Nordin, Mohammad Hudzaifah Rosli, Abd Hadi Abd Bari, Muhd Syafi Masnon, Nurul Ain Wan Hitam, Wan Hazabbah |
author_sort |
Nordin, Mohammad Hudzaifah |
title |
Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis |
title_short |
Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis |
title_full |
Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis |
title_fullStr |
Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis |
title_full_unstemmed |
Recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis |
title_sort |
recurrent retrobulbar optic neuritis in seronegative rheumatoid arthritis |
publisher |
Universiti Putra Malaysia Press |
publishDate |
2022 |
url |
http://irep.iium.edu.my/113138/1/113138_Recurrent%20Retrobulbar%20Optic%20Neuritis%20in%20Seronegative%20Rheumatoid%20Arthritis.pdf http://irep.iium.edu.my/113138/7/113138_Recurrent%20Retrobulbar%20Optic%20Neuritis%20in%20Seronegative%20Rheumatoid%20Arthritis_Scopus.pdf http://irep.iium.edu.my/113138/ http://www.medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs-9255 |
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13.188404 |