DR. LAKHIMAI BEYPI

Dr. PANKAJ BARUAH, DR. AMBIKESH PANDEY

Abstract

A 22 years old male presented with gradual, painless, progressive diminution of vision since last 2 years which started in right eye followed by diminution of vision in left eye after 5 months. No history of intoxication,pain, redness, watering and fever prior to or during the onset of diminution of vision. He has received pulse steroid therapy followed by oral steroids for optic neuritis. All the investigations to rule out demyelinating CNS disorders were found to be normal including MRI. However VEP showed pattern suggestive of demyelinating trend. Now the patient is having visual acuity of FCCF in both eyes, not improving with any correction.

FUNDUS- Bilateral optic atrophy with well defined margins.

PERIMETRY- Near total field defect in both eyes.

VEP- Increased P100 L/E with decreased amplitude in both eyes, suggestive of demyelinating trend of optic neuropathy.

Mitochondrial mutation for – reports confirmatory of LHON.

All reports will be enclosed at the time of presentation.