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CASE REPORT
Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 163-164

Acute hypertensive uveitis as the first presentation of multiple sclerosis


Department of Ophthalmology, The Queen Elizabeth Hospital; Department of Ophthalmology, The Royal Adelaide Hospital; The South Australian Institute of Ophthalmology, Adelaide, South Australia, Australia

Correspondence Address:
Dr. Melissa Kate Shields
Department of Ophthalmology, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, South Australia, Australia 5011
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_345_18

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Ophthalmic manifestations of multiple sclerosis are frequent including acute optic neuritis, ocular motor disturbances and intermediate uveitis. We report an unusual case of multiple sclerosis presenting as acute hypertensive uveitis. A 56-year-old man was referred by his family doctor with a 2-week history of right eye pain and decreased vision. Best-corrected visual acuity was Count Fingers on the right and 6/9-2 on the left. Intraocular pressure was 55mmHg and 14 mmHg on the right and left respectively. He had a right relative pupillary defect and a left internuclear ophthalmoplegia. Vitreous cells were present in the right eye and there was peripheral sclerosis and periphlebitis superior temporally. MRI Brain and Spine revealed multiple T2 hyperintense lesions consistent with multiple sclerosis. Multiple sclerosis may present initially with an acute elevation of intraocular pressure and intermediate uveitis.


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