Ahead of print publication  

Ocular Manifestations of Rubella Virus Disease in a 32-Year-Old Female Patient Case Report

1 Department of Optometry, Mzuzu University, Mzuzu, Malawi
2 Department of Surgery, Faculty of Medicine, Imo State University, Imo; Abia State Specialist Hospital, Umuahia, Nigeria
3 Abia State Specialist Hospital, Umuahia, Nigeria

Date of Submission30-Jul-2019
Date of Decision02-Aug-2019
Date of Acceptance31-Aug-2019
Date of Web Publication06-Jul-2022

Correspondence Address:
Ogbonna Grace,
Department of Optometry, Mzuzu University, P/Bag 201, Mzuzu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_22_21


Rubella (German measles) is a viral disease that affects all age groups. It is spread through contact with airborne droplets of the virus found in the cough or sneeze of infected people. It can also be spread through sharing of cutleries and drinks with infected persons. Following rubella infection, symptoms may be nonspecific as with most viral infections, and may include: arthralgia, cough, runny nose, low grade fever, maculopapular rashes, and lymphadenopathy. Rubella infection cannot be clinically differentiated from other viral diseases based on symptoms. However, it is important for clinicians to know symptoms which may be suggestive of rubella for quick differentials and implementation of precautionary measures against its spread, hence this case report. In this study, we report a case of rare ocular involvement of the third cranial nerve in a 32-year-old black woman with rubella which resulted in pain on superior eye movement and partial eyelid ptosis. The patient also reported experiencing blurred vision, light sensitivity, and objects appearing washed out. All her symptoms appeared 17 days after she had embarked on an international travel (through Ethiopia) and sharing a can of drink with a child who she did not know his measles, mumps, and rubella vaccination status. She tested positive to rubella immunoglobulin M test. However, all of the patient’s ocular symptoms resolved 6 weeks after their onset following the resolution of the rubella symptoms.

Keywords: Cranial nerve palsy, eyelid ptosis, photophobia, rubella

How to cite this URL:
Grace O, Fidelis A, Rosemary E. Ocular Manifestations of Rubella Virus Disease in a 32-Year-Old Female Patient Case Report. Niger J Ophthalmol [Epub ahead of print] [cited 2022 Aug 8]. Available from: http://www.nigerianjournalofophthalmology.com/preprintarticle.asp?id=349957



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