A Case of Bilateral Pseudo Papilledema Revealing a Leber s Hereditary Optic Neuropathy

Case Report

Austin J Clin Ophthalmol. 2022; 9(2): 1128.

A Case of Bilateral Pseudo Papilledema Revealing a Leber’s Hereditary Optic Neuropathy

Aachak M*, Brarou H, Boui H, Jeddou I, Abdellaoui T, El Asri F, Mouzarii Y, Reda K and Oubaaz A

Department of Ophthalmology, Military Hospital, Mohammed V University, Rabat, Morocco

*Corresponding author: Meryem Aachak, Department of Ophthalmology, Military Hospital, Mohammed V University, Rabat, Morocco

Received: April 04, 2022; Accepted: April 27, 2022; Published: May 04, 2022

Introduction

Leber Hereditary Optic Neuropathy (LHON) is a mitochondrial disease caused by mutations in mitochondrial DNA affecting the respiratory complex I and leading to the death of retinal ganglion cells (RGCs) [1]. It is characterized by sudden onset and usually severe bilateral loss of central vision, predominantly in young men [2]. The risk of vision loss is 50% among men and 10% among women who carry LHON primary mutations in the mitochondrial DNA [3]. We report an atypic case of LHON in a young 11 years old girl.

Case Presentation

An 11 years old girl coming from a non consanguineous marriage, with no medical history was brought by her parents to the ophthalmology emergency department for a progressive bilateral decreasing of visual acuity.

Ophthalmic examination revealed a best corrected VA of 1/10 in the right eye and “finger counting” in the left eye.

The slit lamp examination was without abnormalities and the fundus evaluation showed an aspect of bilateral papilledema grade II associated with vessel swelling and tortuosities (Figure 1).