Check other options. Technically possible, but there are other options that may have less adverse effect on the already compromised optic nerve (where the neuritis caused inflammation). Other surgical options may include prk and lens implants.
Most likely. If you have a significant prescription and want to decrease your spectacle dependence, then lasik can be considered. Optic neuritis due to ms does not disqualify you but any deficits due to prior episodes (such as decreased best corrected vision, visual field defects, decreased contrast sensitivity, color perception abnormalities) will still be present after surgery.
Sure you can, but. Have the optic neuritis fully treated and controlled, and make sure that you have been finished with any steroid medication used to treat the optic neuritis for at least 4-6 weeks.
Maybe. Not all optic neuritis is the same even with ms. A lot has to do with the extent of the damage and number of episodes. Any type of refractive surgery or intraocular surgery can have increased risks of further damage with prior inflammation. I would consider all of these risks before pursuing elective surgery.
When should I expect to notice a change in my vision or for my vision to get better after having a course of iv solumedrol for optic neuritis from ms?
About 30-90 days. Loss of vision in optic neuritis will usually worsen over the first 1 to 2 weeks then there is Usually improvement in vision over the next 1 to 3 months. The iv SoluMedrol may speed up visual recovery but it does not effect the extent of the visual recovery.
I have been meaning to get an eye exam and new glasses soon but I just had a bout of optic neuritis from ms. When can I go to get new glasses?
When you are stable. MS and optic neuritis can affect the vision, but not in a way that can be treated with glasses. You can have an eye exam once your doctor has the optic neuritis under control.
I had 3 days iv steroids for optic neuritis/ms (couldn't do more bc school) but my vision isn't any better after 6 weeks. When will it get better?
Depends. Most ms related optic neuritis will respond in several weeks to high dose iv steroids. Unfortunate that you have to stop without getting the full course of treatment. You should see a neuroophthalmologist as soon as possible to get this evaluated.
My fatigue is getting terrible. I can sleep non stop up to 20 hours a day and still feel tired. Is this connected to MS? I have had optic neuritis.
Yes with MS. You might experience extreme fatigue. Of course other conditions can do this (chronic infection)
Analysis. With history of optic neuritis, if you were shown to have one or more MRI lesions at the time, you have at least an 80% chance of eventual proven MS. Worth getting updated MRI studies and seeing a neurologist. You may need appropriate interventions.
I had optic neuritis in left eye it had nearly gone now starting in right eye. Should I get it checked? Neuro appoint in 4weeks for possible MS
Right away. If there is optic neuritis starting, then it should be treated as soon as possible for the most likely improvement. Don't wait 4 weeks. If there is a neuro-ophthalmologist in your area see him/her tomorrow. Or get the neurologist to see you right away. MS certainly is quite likely if both eyes have been involved in this way.
Yes, get it checked. Important to treat visual issues ASAP. If you have bilateral optic neuritis, you need to have a blood test for NMO spectrum disorder to check aquaporin 4. MS may be an answer, and your neurologist should be able to exclude other causes.
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
Dilated pupil. Presumably what happened is that you sustained optic nerve damage & the nerve is not transmitting enough light data to tell the pupil to contract more. The "afferent limb" of the "direct" light reflex is damaged. If a light shined in your other eye causes the dilated pupil to contract, then the "consensual" light reflex is intact. That's called a Marcus-Gunn pupil.
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.
Not surprising. Your eye likely still displays what is called an afferent pupillary defect, and dilates with light exposure. Do not be alarmed. But, if you have a diagnosis of MS, why do you not list an MS disease modifying agent, which would be critical in controlling future issues? Do you not have a neurologist who focuses in MS??
A dr said my girlfriend has optic neuritis, and need immediate medical care, does she have MS for sure? Her aunt has ms.
See your eye doctor. Up to 50 % of ms patients have visual symptoms or optic neuritis as a presenting sign, however that does not mean your girlfriend has ms. There are many causes of optic neuritis, all of which should be evaluated and treated by your eye doctor or neuro-ophthalmologist. Due to her age and family history ms is high on the differential, she should have an MRI of the brain to further evaluate.
Statistical risk. According to data from optic neuritis treatment trial, risk of clinically definite ms, if MRI lacks any lesions is 25% by 15 yrs, but, if only one white matter lesion, the risk escalates to 72%. Therefore, get followup MRI studies, and find neurologist who focuses in ms to work with. Please do not worry, newer meds are far more successful these days. Do supplement vitamin d-3.
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.
If am having optic neuritis and brain lesions but its not MS, what are the other possible conditions?
Many causes. Many potential causes including ischemic & embolic (like stroke) demyelination (like MA), nerve compression. Hope that helps.
THE USUAL SUSPECTS. Although this could be "Clinically Isolated Syndrome", with eventual clinically definite MS, other considerations could include an NMO spectrum disorder (get NMO-IGg, aquaporin-4 antigen), but consider sarcoid, a vasculits like lupus, Lyme disease, HIV, syphilis, Sjogren's, and perhaps B-12 issue. Statistically, you have >80% chance of MS confirmation within next 14 yrs, if only one lesion.