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Case Reports in Medicine
Volume 2012, Article ID 134636, 4 pages
Case Report

Early Bilateral Cystoid Macular Oedema Secondary to Fingolimod in Multiple Sclerosis

Department of Ophthalmology, Royal United Hospital Bath, Bath BA1 3NG, UK

Received 1 July 2012; Accepted 3 September 2012

Academic Editor: Marco A. Zarbin

Copyright © 2012 Lei Liu and Fiona Cuthbertson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case of fingolimod-associated bilateral cystoid macular oedema in a patient with multiple sclerosis (MS). A 34-year-old female, diagnosed with MS at age of 30, developed bilateral blurred vision 5 days after initiation of fingolimod. She was misdiagnosed as optic neuritis initially and fingolimod was only discontinued 3 weeks after onset of her visual symptoms when OCT showed prominent bilateral cystoid macular oedema and subretinal fluid. Although her left corrected vision returned to 6/6, she had persistently decreased right visual acuity of 6/12 after 5 months. This paper aims to raise awareness among ophthalmologists and neurologists of the importance of early recognition of macular oedema associated with fingolimod.