Optic Neuritis

Symptoms:

Sudden onset, dimness or loss of vision from one or both eyes that may or may not be painful.

Cause:

It is usually autoimmune process. In autoimmune diseases, the defense mechanism of body starts to destroy its own tissues. These diseases are more common in females. Other causes include infections, nutritional deficiency, drugs, brain tumors or toxins.

Treatment and Recovery:

Patient needs urgent hospitalization for at least a week or two. High dose intravenous steroids need to be given. In some cases, intravenous immunoglobulin or plasmapheresis treatment needs to be done.

Recovery is generally good with steroids that need to be given intravenously. Sometimes optic neuritis occurs repeatedly and it should be brought into attention of your doctor. Sometimes optic neuritis may be a part of more widespread disease like multiple sclerosis or neuromyelitis optica spectrum disorder. You may ask your doctor regarding this.

Diet:

There are no specific dietary recommendations. However smoking and alcohol should be avoided.

Frequently Asked Questions:

Can optic neuritis occur again?

In some patients optic neuritis occurs repeatedly. Sometimes optic neuritis may be a part of more widespread disease like multiple sclerosis or neuromyelitis optica spectrum disorder. You may ask your doctor regarding this.

Can I develop multiple sclerosis?

Optic neuritis can be manifestation of  multiple sclerosis. It depends on what your brain MRI shows and whether or not you develop any other problem like weakness in any limb, problems with balancing or difficulty in walking in future. Please ask your doctor regarding this.

My doctor has advised me to get lumbar puncture. Should I get it?

Sometimes it is necessary to get lumbar puncture to diagnose underlying disease process. Get it done if you are advised so.

Disclaimer:
The information given here is intended for use of general public . It should not be taken as standard medical reference.

About the Author:

One of the most well known neurologists in Lahore, he is serving as Assistant Professor of Neurology at Lahore General Hospital. He is a graduate of King Edward Medical College and did residency in general medicine & neurology at Mayo Hospital Lahore. He did FCPS in neurology and moved to Lahore General Hospital, and has been working there since.

One Comment

  1. haad June 15, 2020 at 3:49 pm - Reply

    hello

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