A case of unilateral optic disc swelling with chronic active Epstein–Barr virus infection

Abstract

Naoko Aizawa1, Toru Nakazawa1, Masahiko Shimura21Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan; 2Department of Ophthalmology, NTT East Japan Tohoku Hospital, Sendai, Miyagi, JapanAbstract: Ocular complications of chronic active Epstein–Barr virus (EBV) infection have rarely been reported and are usually associated with systemic symptoms. We described a 17-year-old boy with unilateral optic disc swelling without any systemic symptoms at the initial onset. Antibody titers to EBV were markedly elevated. Treatment with immunosuppressants and corticosteroids dramatically relieved all his symptoms, including unilateral optic swelling and visual field abnormalities.Keywords: Epstein–Barr virus, optic disk swelling