We report a rare presentation of brucellosis as bilateral optic nerve and right abducent nerve involvement, and endocarditis complicated by right premacular hemorrhage in a 28-year-old white female. The patient showed improvement with both medical and surgical therapy. Brucellosis should be considered in the differential diagnosis of papillitis, gaze palsy and endocarditis complicated with premacular hemorrhage in endemic regions.
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January 2010
Purpose: To report the conjunctival microvascular abnormalities as the only ocular manifestation of two patients with Behcet's disease.
Method: Reporting two patients with Behcet's disease presenting conjunctival vascular lesions associated with subconjunctival hemorrhage.
Results: The vascular lesions responded rapidly to treatment with topical steroids.