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Brodhead, WI
A 16-year-old male asked:

If i had optic neuritis, would i feel pain? can an od find it in an eye exam in which they dilate the pupil? what other ways would ms show in exam

2 doctor answers5 doctors weighed in
Dr. Eric Kelts
Neurology 25 years experience
Optic Neuritis: Optic neuritis is a condition which is caused by an autoimmune injury to the optic nerve. This produces loss of the fatty insulation ("myelin") around the nerve which makes the nerve not function well. Patients have vision changes (esp. loss of color and brightness sensation), a change in pupil function, and frequently pain with eye movement. MS is usually diagnosed by MRI or a spinal tap.
Dr. Geoffrey Kwitko
Ophthalmology 37 years experience
Eye pain with eye movement. Afferent pupil on exam. Possibly enhancement of the optic nerve on MRI.
Jul 31, 2014
Dr. William Conte
Specializes in Neurology
Yes: Almost all cases of optic neuritis have pain when moving the affected eye. It is usually accompanied by decreased vision as well. An OD can usually see changes on a dilated exam but not always. If you are concerned about optic neuritis it is important to visit a doctor for evaluation.

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Last updated May 21, 2016

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