Abstract

Myelin oligodendrocyte glycoprotein antibody disease-optic neuritis (MOGAD-ON) is an uncommon form of demyelinating optic neuritis, which may be potentially blinding. Keratoconus (KC) is a noninflammatory, progressive ectatic corneal disorder often affecting young adults, leading to visual dysfunction. A singular account of the coexistence of unilateral KC with bilateral (BL) MOGAD-ON has been reported before. Our report narrates the experience of managing the visual deficit due to BL MOGAD-ON in a patient with BL KC, an association hitherto unreported so far. The emphasis is on highlighting the diagnostic approach and stressing the refined principles of management of optic neuritis in conjunction with the neurology team.

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