SUMMARY

Purpose:

To describe an unusual, favorable visual outcome in a patient with cryptococcal meningitis, and to present previously unreported bilateral superior oblique muscle pares is

Case Report:

A 15-year-old girl with lupus erythematosus and cryptococcal menin'gitis, bilateral superior oblique paresis, bilateral optic nervehead swelling, and elevated intracranial pressure developed no light perception vision in the right eye.

Results:

Treatment with oral fluconazale, acetazolamide, and dexamethasone, as well as repeated lumbar punctures to reduce intracranial pressure, was followed by recovery to visual acuity of 20/20 in both eyes and normal ocular motility.

Conclusion:

With appropriate treatment, visual loss associated with cryptococcal meningitis may have afavorable outcome.

Keywords:
Cryptococcal meningitis; Lupus erythematosus; Visual loss; Superior oblique muscle paresis