MILLER FISHER SYNDROME WITH OPTIC NEURITIS

Optic neuritis can occur in a patient suffering from Miller Fisher Syndrome resulting in acute visual loss. Only very few such cases have been reported so for in literature. A 40 years old lady presented with the classic triad of Miller Fisher Syndrome ( ataxia, external ophthalmoplegia and areflexia). She developed sudden total visual loss in right eye followed by left eye with bilateral optic discedema which was proved to be papillitis with fluorescin fundus angiography. MRI Brain with contrast was normal and CSF was acellular with elevated protein and normal glucose level. She was treated with steroidsin her vision.After 4 weeks of treatment Ataxia and ophthalmoplegia improved but there was no significant improvement in her vision