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Desrina Desrina
Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Diagnosis and Management of Devic’s Disease Desrina Desrina; Syntia Nusanti; M. Sidik
Majalah Oftalmologi Indonesia Vol 41 No 3 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v41i3.38

Abstract

Background: To report diagnosis and management of Devic’s Disease with good visual outcome.Case Illustration: A 51 years-old male came with sudden blurred vision of his right eye since 3 days.The patient also complained of lower limbs weakness, urinary retention, and defecation disorder.Ophthalmology examination revealed visual acuity of no light perception in the right eye and 6/12 inthe left eye. Light reflex of both eyes decreased. Funduscopy examination of the right eye showed anindistinct edge and hyperemic optic nerve head, cup-disc ratio was hard to be evaluated, artery/vein ratioof  2/3, macular reflex was positive and the retina was good. Funduscopy of the left eye was within normallimit. No pathological finding in brain Magnetic Resonance Imaging (MRI). Thoracolumbal MRI supportlongitudinal transverse myelitis. The patient was diagnosed as Devic’s Disease and treated initiallywithintravenous methylprednisolone 1 g/day for five days followed by methyl prednisolone orally.Conclusion: Early diagnosis of Devic’s Disease is important because immediate therapeutic interventionis required to get excellent result, prevent relapse and further disability.
Co-Authors M. Sidik Syntia Nusanti