Top
30
Doctor insights on: Optic Neuritis

Share
Dr. Howard Pomeranz
229 Doctors shared insights

Optic Neuritis (Overview)

A condition in which there is swelling of the optic nerve, the main nerve in the eye. Common symptoms include having sudden reduced vision or loss of vision in the affected eye and pain upon moving the eye. Some causes of optic neuritis are various infections and certain drugs.


1

1
What are the symptoms of optic neuritis?

What are the symptoms of optic neuritis?

Optic neuritis: Usually painful loss of vision. You can find a good description here: http://www. Mayoclinic. Com/health/optic-neuritis/ds00882/dsection=symptoms. ...Read more

Dr. Howard Pomeranz
229 Doctors shared insights

Optic Neuritis (Overview)

A condition in which there is swelling of the optic nerve, the main nerve in the eye. Common symptoms include having sudden reduced vision or loss of vision in the affected eye and pain upon moving the eye. Some causes of optic neuritis are various infections and certain drugs.


2

2
How long does optic neuritis last when there is no underlying cause? Is two weeks after diagnoses too late to start steroids?

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 more

4

4
What are the signs of optic neuritis?

Pain, visual loss: Pain is usual in the affected eye and is aggravated by eye movement. Visual loss is commonly progressive, though initially it is blurring of vision. This may progress to a field/altitudinal defect. The pupil may be dilated and sluggish to react to light. Loss of visual acuity varies from none to loss of perception of light. Good visual acuity is regained after the initial attack, with exceptions. ...Read more

5

5
Severe optic neuritis --what do you do after diagnosis?

Severe optic neuritis --what do you do after diagnosis?

Optic neuritis: A cause for the optic neuritis needs to be determined. An MRI scan is usually needed to do this, as well as other tests that can be performed by a neurologist. ...Read more

6

6
Is it possible for a doctor to diagnose optic neuritis just from a routine eye exam?

Is it possible for a doctor to diagnose optic neuritis just from a routine eye exam?

Yes: Some time the person may not have a severe optic neuritis, or may have a mild symptom that is over looked by the patient. On occasion, on a routine eye exam many problems could be diagnosed including old or active optic neuritis. ...Read more

7

7
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?

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

8

8
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.?

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 more

9

9
What causes optic neuritis?

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 more

10

10
What does it mean to have permanent optic neuritis?

Optic neuritis: There are two suggestions from your expression "permanent". You may have changes in your optic nerve that are not reversible or you may have multiple sclerosis. It would be best to get the answer from the doctor who used the terminology. ...Read more

11

11
How do you treat optic neuritis cases?

Optic neuritis: Anyone with optic neuritis should be under the care of an opthalmologist if possible. ...Read more

12

12
What is the treatment for optic neuritis?

Optic neuritis: Treatment of optic neuritis is usually with intravenous steroids for three days which hastens recovery of vision but does not change visual outcome. Follow up with an ophthalmologist and neurologist are important to assure that the cause of the optic neuritis is properly identified and treatment for the underlying cause (for example multiple sclerosis in some cases) is initiated. ...Read more

13

13
What are diet and treatments optic neuritis?

Complex ISSUES: Optic neuritis is an acute inflammation of the optic nerve caused by multiple sclerosis in a majority of cases, but also neuromyelitis optica, viral infections, and even arteritis. Successful treatment can be achieved via oral or intravenous steroids, or acth, and no dietary measures or supplements will work. Since this condition may presage a chronic process, need to evaluate cause fully. ...Read more

14

14
Can getting an eye transplant cure optic neuritis?

Unrelated: The only current transplant is corneal transplantation. There is no way to transplant a whole eye or any part of the eye nerves. If you have optic neuritis, you can benefit from some forms of treatment which are best managed by a neuro-ophthalmologist. ...Read more

15

15
What's the best treatment to get rid of optic neuritis?

What's the best treatment to get rid of optic neuritis?

Steroids: We use often steroids in the acute setting. Alternatives include also ivig and plasmapheresis. A detailed work up is necessary in order to prevent optic neuritis. Multiple sclerosis is often associated with optic neuritis and a preventive treatment approach is available. ...Read more

16

16
How come I have optic neuritis, but nobody else in the family has it?

How come I have optic neuritis, but nobody else in the family has it?

Isolated case: Optic neuritis, an inflammation of the optic nerve which disturbs vision in that eye, is usually from an unknown isolated cause or in association with multiple sclerosis. Most cases are isolated, individual and do not have a genetic underpinning. So it does not run in families and you cannot spread it from yourself. ...Read more

17

17
I am terrified - how to figure out optic neuritis and multiple sclerosis (ms) risk?

I am terrified - how to figure out optic neuritis and multiple sclerosis (ms) risk?

Please be calm: If you have been diagnosed with optic neuritis and are worried about whether you already have ms, vs. The risk of developing it, these are questions to discuss formally with a neurologist. We have statistics on risk, and ways to assess for other clinically associated lab support to address this for you specifically. I know this is frightening, but please discuss with neurologist. ...Read more

18

18
Should I still go to work if I have optic neuritis?

Should I still go to work if I have optic neuritis?

Probably: Optic neuritis is not contagious, nor is it work related or aggravated by work. If the status of the condition makes it visually difficult to do your work, you should hold off until it improves. Your work colleagues do not need to know of your condition unless the vision prevents work. ...Read more

19

19
What is optic neuritis?

What is optic neuritis?

Visual nerve inflame: Optic neuritis is the name for inflammation of the optic nerve. There can be a number of causes including multiple sclerosis and many other diseases. This should be evaluated by an ophthalmologist as soon as the condition arises. ...Read more

20

20
What is optic neuritis?

See below: Optic neuritis is due to inflammation and damage of the insulation material around the nerve behind the eye ball (optic nerve). This results in variable loss of vision in one eye, pain with eye movement, for weeks to months followed by recovery. It can be the first event of MS or may be a one time event. Brain MRI taken at the time of optic neuritis can be valuable to gauge risk for future ms. ...Read more

21

21
Describe optic neuritis?

Describe optic neuritis?

Optic neuritis: Optic neuritis is an inflammation of the optic nerve often caused by multiple sclerosis. The symptoms are a sudden decrease in vision in one eye usually associated with eye pain. This condition can be diagnosed by an ophthalmologist. ...Read more

22

22
What is optic neuritis?

Inflammation: The optic nerve becomes inflamed and results in decreased vision, pain on motion of the eye and faded color vision. A variety of causes may be considered, and in about 16-50%, depending on MRI lesions, of cases this could be secondary to multiple sclerosis. Optic neuritis usually responds well to steroids. ...Read more

23

23
What causes optic neuritis?

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 more

24

24
What to do for optic neuritis?

Steroids: Optic neuritis may be the initial sign of multiple sclerosis, but could be due to many other causes. Commonly it is treated with intravenous Methylprednisolone or acth would also work, and oral steroids at high enough doses may reverse the visual loss. Other causes of optic neuritis exist but generally do not respond to steroids but some spontaneously improve by themselves. ...Read more

25

25
What to do if I have optic neuritis?

Depends: There are several possible causes for this but the most likely is one episode with no cause. Your best bet is to find a neuro-ophthalmologist who can evaluate you and determine if there is an underlying problem. Some causes can be treated. ...Read more

26

26
What are the signs of optic neuritis?

Pain, visual loss: Pain is usual in the affected eye and is aggravated by eye movement. Visual loss is commonly progressive, though initially it is blurring of vision. This may progress to a field/altitudinal defect. The pupil may be dilated and sluggish to react to light. Loss of visual acuity varies from none to loss of perception of light. Good visual acuity is regained after the initial attack, with exceptions. ...Read more

27

27
What can be done for optic neuritis?

What can be done for optic neuritis?

Steroids: Intravenous or oral steroids can be used, and acth may also help. Need to start asap. Important to consider that this could be early ms and get an mri. ...Read more

28

28
How do you treat optic neuritis cases?

Optic neuritis: Anyone with optic neuritis should be under the care of an opthalmologist if possible. ...Read more

29

29
What can be done about optic neuritis?

What can be done about optic neuritis?

It's complicated: Optic neuritis is an inflammation of one or both eye nerves causing changes in vision. It is almost always part of multiple sclerosis, whether or not other symptoms are apparent or an MRI abnormality is evident. Significant visual impairments are usually treated with high dose I.V. Methylprednisolone to enhance and speed recovery and reduce the severity of the injury, and reduce new symptoms. ...Read more

30

30
Do a lot of people get optic neuritis?

Do a lot of people get optic neuritis?

Uncommon: Optic neuritis (also called optic neuropathy) is due to inflammation of the main visual nerve behind the eye. Many cases are isolated and only occur once. A lot are associated with multiple sclerosis and may be the first happening in that condition. You should see your ophthalmologist or neuro-ophthalmologist for diagnosis and treatment. ...Read more

Dr. Peter Glusker
274 Doctors shared insights

Neuritis (Definition)

Neuritis refers to inflammation of a peripheral or cranial nerve. Usually involved with ...Read more