# Neuromyelitis Optica: A Peek Into the Brain Through the Eyes

## TL;DR

This case study describes a rare neurological condition affecting the eyes and spinal cord, diagnosed through symptoms and antibody testing.

## Contribution

The paper presents a clinical case of neuromyelitis optica with a focus on ocular symptoms and diagnostic confirmation via antibody testing.

## Key findings

- A 27-year-old female exhibited sudden vision loss and restricted eye movements, leading to suspicion of neuromyelitis optica.
- MRI confirmed retrobulbar optic neuritis, and blood tests revealed positive myelin oligodendrocyte glycoprotein antibodies.
- The case highlights the importance of considering neuromyelitis optica in patients with optic neuritis and atypical eye movement issues.

## Abstract

A rare demyelinating syndrome, known as neuromyelitis optica, is characterized by optic neuritis and transverse myelitis. A 27-year-old female presented to the eye department, with complaints of sudden progressive diminution of vision in both eyes (left eye more than right eye), acutely not being able to move both her eyes, double vision on lateral gazes with chronic dryness and irritation. Examination revealed restricted extraocular movements in all gazes. Magnetic resonance imaging of orbit showed retrobulbar optic neuritis. Blood tests revealed positive neuromyelitis optica myelin oligodendrocyte glycoprotein antibodies after which diagnosis of neuromyelitis optica was made.