Optic neuritis

Background

1. an inflammatory, demyelinating condition highly associated with multiple sclerosis (MS)
2. presenting feature of MS in 15 to 20 percent of patients and occurs in 50 percent at some time during the course of their illness

Diagnosis

1. acute, usually monocular, visual loss-usually monocular (90%)
2. vision loss (over hours to days; peaking within 1-2 wks)
3. eye pain (92%), often worsened with eye movement
4. afferent pupillary defect
5. visual field defect (typically central scotoma)
6. papillitis (33%) with hyperemia and swelling of the disk, blurring of disk margins, and distended veins
7. photopsias (30%) (flickering or flashes of light) often precipitated with eye movement
8. loss of color of vision out of proportion to the loss of visual acuity is specific

Work-Up

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DDx

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Treatment

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Disposition

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See Also

Neuro: Multiple Scleritis

Source

KajiQuestions