Bilateral simultaneous anterior ischemic optic neuropathy, an extrahepatic manifestation of hepatitis C cured with direct acting antivirals
- Resource Type
- article
- Authors
- Prud’homme, Sylvie; Nevens, Frederik; Casteels, Ingele
- Source
- GMS Ophthalmology Cases, Vol 6, p Doc05 (2016)
- Subject
- non arteritic ischemic optic neuropathy
hepatitis C
sofosbuvir
daclatasvir
Ophthalmology
RE1-994
- Language
- English
- ISSN
- 2193-1496
We report a patient with a bilateral optic anterior ischemic neuropathy as an extrahepatic complication of a chronic hepatitis C (HCV) infection. The patient presented with a bilateral visual acuity loss and bilateral optic disc oedema. The optic neuropathy was associated with a sudden increase in the viral HCV load after a recent liver transplantation. The stop of the calcineurin inhibitor had no effect on the course of the optic neuropathy. Visual improvement and normalization of HCV viraemia occurred after treatment with sofosbuvir and daclatasvir, which are direct acting antivirals.