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KMID : 1151620200050010066
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Journal of Retina
2020 Volume.5 No. 1 p.66 ~ p.69
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Bilateral Optic Disc Edema Associated with Pyogenic Spondylitis
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Jang Ji-Hye
Kang Sung-Il
Kim Yu-Cheol
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Abstract
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Purpose: To report an uncommon case of bilateral optic disc edema as a complication of cervical pyogenic spondylitis.
Case summary: A 48-year-old male patient was diagnosed with C2 spondylodiscitis with direct extension from a retropharyngeal abscess. He had received intravenous nafcillin for coverage against methicillin-sensitive Staphylococcus aureus. After 3 weeks, he complained of blurred vision in both eyes. Fundus examination showed bilateral optic disc swelling with peripapillary flame-shaped hemorrhages, radiating hard exudates at the papillomacular area. After 8 weeks of continuous antibiotic therapy, the patient recovered slowly.
Conclusions: Involvement of the bilateral optic nerve with the cervical pyogenic spondylitis is uncommon. If a patient with the cervical pyogenic spondylitis complains of blurred vision or other ocular symptoms, ophthalmologists and neurologists should be aware of ocular complications.
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KEYWORD
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Optic disc, Retropharyngeal abscess, Spondylitis
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