The Diagnosis and Treatment of Optic Neuritis.

ABSTRACT:

Background

Typical optic neuritis is often the presenting manifestation of multiple sclerosis (MS). Its incidence in central Europe is 5 cases per 100 000 persons per year.

Methods

This review is based on articles retrieved by a selective search of the PubMed database, on the pertinent guidelines, and on the authors' clinical experience.

Results

The diagnosis of optic neuritis is based on a constellation of symptoms and signs. The onset is usually with pain on eye movement in one eye and subacute visual loss. In unilateral optic neuritis, the direct pupillary light reflex is weaker in the affected eye. One-third of patients with optic neuritis have a mildly edematous optic disc. The visual disturbance resolves in 95% of cases. A less favorable course may be evidence o

SUBMITTER: Wilhelm H 

PROVIDER: S-EPMC4581115 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature