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:: Volume 15, Issue 3 (4-2010) ::
3 2010, 15(3): 218-222 Back to browse issues page
Diagnosis, Treatment and Prognosis of Optic Neuritis
M Pakravan MD , A Doozandeh MD
Shahid Beheshti University of Medical Science
Abstract:   (17277 Views)

 

Optic neuritis occurs in young patients, most often females, and presents as subacute monocular visual loss. Periocular pain, particularly with eye movement occurs in the majority of cases. The retrobulbar form occurs in 65% of cases and is associated with normal optic disc appearance at onset. The central visual field is usually affected and an RAPD and dyschromatopsia are present. Brain magnetic resonance imaging (MRI) is recommended in all cases of optic neuritis. Evaluation for periventricular white matter lesions is the single best test for assessing the risk of future multiple sclerosis (MS). Typical idiopathic neuritis begins to show improvement within one month, the use of intravenous methylprednisolone 250 mg every 6 hours for 3 days, followed by oral prednisolone 1 mg/kg/day for 11 days speeds recovery by 1 to 2 weeks. Oral prednisolone alone has shown no benefit, has been associated with an increased risk of recurrence and its use is not recommended.

Keywords: Optic Neuritis, Multiple Sclerosis, MRI
Full-Text [PDF 185 kb]   (1114 Downloads)    
Type of Study: Research | Subject: Ophthalmology
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Pakravan M, Doozandeh A. Diagnosis, Treatment and Prognosis of Optic Neuritis. 3. 2010; 15 (3) :218-222
URL: http://binajournal.org/article-1-338-en.html


Volume 15, Issue 3 (4-2010) Back to browse issues page
مجله چشم‌پزشکی بینا Bina Journal of Ophthalmology
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