Infliximab-induced retrobulbar optic neuritis in a patient with ankylosing spondylitis

Objective: To present a case with infliximab-induced retrobulbar optic neuritis.Case description: A 58-year-old woman presented to our clinic with a two-day history of blurred vision in her right eye. She had numerous uveitis attacks previously, and she was on infliximab treatment for ankylosing spo...

Full description

Bibliographic Details
Main Authors: Dündar, Sema, Yaşar, Mimbay, Çakmak, Harun, Kıylıoğlu, Nefati, Ünsal, Alparslan
Format: Article
Language:English
Published: German Medical Science GMS Publishing House 2023-12-01
Series:GMS Ophthalmology Cases
Subjects:
Online Access:http://www.egms.de/static/en/journals/oc/2023-13/oc000232.shtml
Description
Summary:Objective: To present a case with infliximab-induced retrobulbar optic neuritis.Case description: A 58-year-old woman presented to our clinic with a two-day history of blurred vision in her right eye. She had numerous uveitis attacks previously, and she was on infliximab treatment for ankylosing spondylitis. Her best-corrected visual acuity was counting fingers and 20/25 in the right and left eye, respectively. Optic discs seemed healthy in fundoscopic examination. The right optic nerve showed high signal intensity on magnetic resonance imaging (MRI). Infliximab treatment was discontinued and systemic steroid therapy was started. After the treatment her best-corrected visual acuity improved to 20/20 in her right eye.Conclusion: Infliximab is a chimeric human-murine monoclonal antibody used in autoimmune diseases. Optic neuritis is a rare but important side effect of infliximab. Thus, infliximab-induced optic neuritis should be kept in mind for patients receiving infliximab treatment.
ISSN:2193-1496