Optic neuritis: Difference between revisions
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#vision loss (over hours to days; peaking within 1-2 wks) | #vision loss (over hours to days; peaking within 1-2 wks) | ||
#eye pain (92%), often worsened with eye movement | #eye pain (92%), often worsened with eye movement | ||
#afferent pupillary defect | #afferent pupillary defect | ||
#visual field defect (typically central scotoma) | |||
#papillitis (33%) with hyperemia and swelling of the disk, blurring of disk margins, and distended veins | |||
#photopsias (30%) (flickering or flashes of light) often precipitated with eye movement | |||
#loss of color of vision out of proportion to the loss of visual acuity is specific | #loss of color of vision out of proportion to the loss of visual acuity is specific | ||
Revision as of 11:00, 29 March 2011
Background
- an inflammatory, demyelinating condition highly associated with multiple sclerosis (MS)
- 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
- acute, usually monocular, visual loss-usually monocular (90%)
- vision loss (over hours to days; peaking within 1-2 wks)
- eye pain (92%), often worsened with eye movement
- afferent pupillary defect
- visual field defect (typically central scotoma)
- papillitis (33%) with hyperemia and swelling of the disk, blurring of disk margins, and distended veins
- photopsias (30%) (flickering or flashes of light) often precipitated with eye movement
- 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