Differential Diagnosis of Optic Nerve Swelling
S Lightman, R Miller
Corresponding address: Professor Susan Lightman,
Department of Clinical Ophthalmology, Institute of Ophthalmology,
Moorfields Eye Hospital, City Road, London EC1V 2PD, UK
Abstract
A patient with HIV/AIDS presented with miliary
TB, a cerebral lesion and a swollen optic nerve. On anti-TB therapy
the cerebral and optic nerve lesions initially worsened. Biopsy
of the optic nerve was undertaken to exclude other disorders but
only showed necrosis. Anti-TB therapy was continued and with time
all lesions resolved.
Key words
Optic nerve swelling, miliary TB, cerebral lesion,
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