At this junction….

Journal Article (Journal Article)

An 81-year-old woman developed painful vision loss to hand motions in the right eye over a several-day period. Dilated fundus examination revealed no acute pathology, but automated perimetry showed a superotemporal visual field defect in the asymptomatic left eye, suggestive of a junctional defect. Magnetic resonance imaging demonstrated enhancement of the right optic nerve extending to its junction with the optic chiasm. The patient's vision failed to improve with intravenous corticosteroids, but demonstrated significant improvement with therapeutic plasma exchange. She was subsequently found to be seropositive for aquaporin-4 autoantibodies, confirming the diagnosis of neuromyelitis optic spectrum disorder.

Full Text

Duke Authors

Cited Authors

  • Warwick, AM; Gospe, SM; Chen, JJ

Published Date

  • 2022

Published In

Volume / Issue

  • 67 / 6

Start / End Page

  • 1711 - 1716

PubMed ID

  • 34364902

Electronic International Standard Serial Number (EISSN)

  • 1879-3304

Digital Object Identifier (DOI)

  • 10.1016/j.survophthal.2021.08.001


  • eng

Conference Location

  • United States