Doctor insights on:
Bilateral Optic Neuritis Causes
MS and idiopathic: Optic neuritis is inflammation of the optic nerves that presents with vision loss, pain with eye movement & "fading vision" when a person gets hot (like in the shower). It is most commonly associated with ms- multiple sclerosis - especially in women. Other causes are idiopathic (we don't know) and rarely from autoimmune diseases such as lupus or infections such as lyme's disease, TB or syphilis. ...Read moreSee 2 more doctor answers
Probably not: Child abuse, especially the shaken baby syndrome, causes significant damage in the eye, . Mostly retinal disruption with bleeding and loss of vision. The optic nerve is in a well protected canal and would only be damaged in these circumstances if the trauma were so great that the bones around the nerve were fractured although this would not be called optic neuritis, but just traumatic damage. ...Read more
How long does optic neuritis last when there is no underlying cause? Is two weeks after diagnoses too late to start steroids?
Get treated: There is ALWAYS a cause for optic neuritis, and it should be treated. Best approach is to use intravenous methylprednisolone, or intramuscular ACTHAR. But if not treated, your outcome is likely permanent loss of vision. See ophthalmologist or neurologist and get this addressed ASAP ...Read moreSee 1 more doctor answer
Ophtamo couldn't find anything wrong, went in cause my vision fluctuates and colors change,he did blood sugar test ,even tested for optic neuritis?
2nd opinion: Time to get another opinion. Some symptoms are fleeting and not easily picked up in one visit. Dr. Milne is an excellent ophthalmologist in Silver Springs, MD. ...Read more
Not always: But, if there is but one MRI white matter lesion associated with optic neuritis, about 75% of pts have developed clinically definite ms by 14 years. In other words, you may need followup for a period of time if you have suffered optic neuritis. Find an experienced ms specialized neurologist and discuss your situation. ...Read more
No: Though optic neuritis might be the first presentation in someone who will develop ms, there are many times when it is simply optic neuritis. A thorough history and examination by a neurologist can help address for you whether you might already have ms, or simply optic neuritis. ...Read moreSee 1 more doctor answer
Mostly demyelinating: There are multiple possible causes. While almost always demyelinating, other causes include lyme's disease, sle, sarcoidosis, and pseudotumor cerebrii. There are an number of causes for demyelination including post-infectious (adem) and multiple sclerosis. There are also some nutritional causes. The best way to determine the cause in a healthy young woman is to see a neuro-ophthalmologist. ...Read moreSee 1 more doctor answer
Can optic neuritis cause palinopsia? i've had trailing in my vision for months (visual snow for forever) but the ON is a recent diagnosis with my MS
MS: Many visual symptoms can occur with MS. What are you being treated with? Sometimes palinopsias/after images can occur in normal patients. ...Read more
I had episodes of optic neuritis I really don't know why it keeps coming back. I know what causes it but still. It happen on both eyes.?
Neuroophthalmologist: It is important that this be evaluated by your closest neuro-ophthalmologist. There is treatment for this although cure is still elusive. Sometimes a neurologist especially with expertise in ms can handle this. There is much that has improved in recent years in the management of optic neuritis so don't delay in getting help. ...Read moreSee 1 more doctor answer
I recently had a course of iv steroids (solumedrol) for optic neuritis caused by multiple sclerosis. When can I expect my vision to get better?
Varies: Usually a few weeks but sometimes faster and sometimes slower and potentially with some residual deficits. ...Read more
I had Scleritis and Keratitis for 6 months last year and was treated. Now I may have Optic Neuritis and an MRI is scheduled. What can cause all 3?
Common Dz for all 3?: There is no one single disease process that links all 3 of those problems together under one roof that I'm aware of. Scleritis and keratitis....sure, why not. But ON is a totally different entity and is really the sine qua non for demyelinating disorders such as MS and other problems; Devic's Disease, etc. Good luck. ...Read more
Went to Dr have MRI scheduled for possible Optic Neuritis. Can this also be the cause of intermittent hearing loss and facial tingling on same side?
I had a bad case of optic neuritis in my eye a year ago w/ ms. I notice that pupil is almost always dilated larger still. Normal? Or cause for concern
Yes: It is not that unusual to have a persistent pupillary abnormality following optic neuritis. Usually it is only detectable by someone performing a "swinging flashlight test" (usually an eye doctor) but sometimes can be seen by the patient or family member in normal light. ...Read moreSee 2 more doctor answers
Numb head and extremities for over 2yrs dizzy and a pulse in my head only when I lay down BP perfect. Optic neuritis also. What could cause this?
Diagnosis of MS?: If you have a dx of MS then, your symptoms as you've stated are consistent with the clinical spectrum of things that people often complain about, however, if these are new symptoms and not part of your "normal" MS symptoms then, you may wish to be seen for a potential headache syndrome. An entity known as migrainous vertigo can produce similar symptoms but headaches are usually severe with those. ...Read more
Optic Neuritis 6/14
High Lymphocytes in CSF 8/14
12 mm choroidal fissure cyst 12/14
T12 verte hemangioma
Fluid in mastoid
Mastoid inflammation: when you have mastoid fluid this can be acute or chronic. If it is chronic - it is often from prior mastoid infection. If it is acute you will have focal pain and possible fever. It can actually be a very serious condition. In general this should be dealt with by a physician who might determine if you need antibiotics. The other findings are not related. Optic neuritis is blurred vision. ...Read more
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