Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis

We report a case of fingolimod-associated bilateral cystoid macular oedema in a patient with multiple sclerosis (MS). A 34-year-old female, diagnosed with MS at age of 30, developed bilateral blurred vision 5 days after initiation of fingolimod. She was misdiagnosed as optic neuritis initially and f...

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Main Authors: Lei Liu, Fiona Cuthbertson
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/134636
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author Lei Liu
Fiona Cuthbertson
author_facet Lei Liu
Fiona Cuthbertson
author_sort Lei Liu
collection DOAJ
description We report a case of fingolimod-associated bilateral cystoid macular oedema in a patient with multiple sclerosis (MS). A 34-year-old female, diagnosed with MS at age of 30, developed bilateral blurred vision 5 days after initiation of fingolimod. She was misdiagnosed as optic neuritis initially and fingolimod was only discontinued 3 weeks after onset of her visual symptoms when OCT showed prominent bilateral cystoid macular oedema and subretinal fluid. Although her left corrected vision returned to 6/6, she had persistently decreased right visual acuity of 6/12 after 5 months. This paper aims to raise awareness among ophthalmologists and neurologists of the importance of early recognition of macular oedema associated with fingolimod.
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institution Kabale University
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spelling doaj-art-9bcd3f297c41486787ab3c289ffdc8b02025-02-03T06:44:46ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/134636134636Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple SclerosisLei Liu0Fiona Cuthbertson1Department of Ophthalmology, Royal United Hospital Bath, Bath BA1 3NG, UKDepartment of Ophthalmology, Royal United Hospital Bath, Bath BA1 3NG, UKWe report a case of fingolimod-associated bilateral cystoid macular oedema in a patient with multiple sclerosis (MS). A 34-year-old female, diagnosed with MS at age of 30, developed bilateral blurred vision 5 days after initiation of fingolimod. She was misdiagnosed as optic neuritis initially and fingolimod was only discontinued 3 weeks after onset of her visual symptoms when OCT showed prominent bilateral cystoid macular oedema and subretinal fluid. Although her left corrected vision returned to 6/6, she had persistently decreased right visual acuity of 6/12 after 5 months. This paper aims to raise awareness among ophthalmologists and neurologists of the importance of early recognition of macular oedema associated with fingolimod.http://dx.doi.org/10.1155/2012/134636
spellingShingle Lei Liu
Fiona Cuthbertson
Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis
Case Reports in Medicine
title Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis
title_full Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis
title_fullStr Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis
title_full_unstemmed Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis
title_short Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis
title_sort early bilateral cystoid macular oedema secondary to fingolimod in multiple sclerosis
url http://dx.doi.org/10.1155/2012/134636
work_keys_str_mv AT leiliu earlybilateralcystoidmacularoedemasecondarytofingolimodinmultiplesclerosis
AT fionacuthbertson earlybilateralcystoidmacularoedemasecondarytofingolimodinmultiplesclerosis