A CASE OF PARS PLANITIS: A HIGHLY PROBABLE ASSOCIATION WITH MULTIPLE SCLEROSIS

Title A CASE OF PARS PLANITIS: A HIGHLY PROBABLE ASSOCIATION WITH MULTIPLE SCLEROSIS
Author, Co-Author Anny Paek, Harriette Canellos, Caroline Yokota
Topic
Year
2002
Day
Program Number
Poster 134
Room
Affiliation
Abstract BACKGROUND: Historically, pars planitis have been associated with multiple sclerosis as an uncommon entity. A recent study conducted by Prieto, etc. in 2001 proved a higher incidence of 47.6% indicating the association between pars planitis and multiple sclerosis. According to the American Uveitis Society in 1997, pars planitis describes a subset of intermediate uveitis of unknown etiology, and usually at an age of onset under 35 years. In pars planitis, there are cellular aggregates over the ora serrata and pars plana, vitreous cells, and possible neovascularization in the vitreous base. Multiple sclerosis is a chronic inflammatory demyelinating disease of the central nervous system that is presumed to be an autoimmune etiology. Multiple sclerosis is associated with intraocular inflammations such as optic neuritis, uveitis, periphlebitis, and pars planitis. We would like to present a case of pars planitis that has a highly probable association with multiple sclerosis.

CASE REPORT(S): A 25 year old white female presents with a recurrent bilateral panuveitis, pars planitis, and cystoid macular edema. Photographs of prominent inferior snowbanking will be included. Her family history is remarkable for multiple sclerosis with both her mother and maternal grandmother being afflicted with optic neuritis. The patient has not been previously diagnosed with multiple sclerosis, but a high probable association between pars planitis and multiple sclerosis exists.

CONCLUSIONS: Initial treatment with 1% topical Pred Forte q2h had an impact in improved vision. The diagnosis workup including blood work, MRI, and neurological exam were ordered; results, treatment, and prognosis for this case is discussed.
Affiliation of Co-Authors State University of New York, College of Optometry, State University of New York, College of Optometry
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