Can Optic Neuritis Be Misdiagnosed

Can Optic Neuritis Be Misdiagnosed If there is a high suspicion of optic neuritis Dr Habash said an MRI is warranted as it can help determine if the optic nerve is enhancing or if there are white matter lesions At that point I usually refer patients to a neuro ophthalmologist for treatment

Optic neuritis occurs when swelling inflammation damages the optic nerve a bundle of nerve fibers that transmits visual information from your eye to your brain Common symptoms of optic neuritis include pain with eye movement and temporary vision loss in one eye Demyelinating optic neuritis ON is the most common cause of optic neuropathy typically presenting with a subacute painful visual loss In 20 of patients with multiple sclerosis MS ON is the presenting symptom and half of the patients with isolated ON develop MS within 15 years

Can Optic Neuritis Be Misdiagnosed

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Can Optic Neuritis Be Misdiagnosed
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So yes misdiagnosed cases of optic neuritis exist 6 Referrals are important But to get a referral in time to save a patient s sight should the cause of the optic nerve s inflammation be vision robbing In most people the cause of demyelinating optic neuritis is not known This is called idiopathic meaning that no cause for the inflammation can be found Some cases may be autoimmune where the immune system mistakenly

There is no consensus regarding the classification of optic neuritis and precise diagnostic criteria are not available This reality means that the diagnosis of disorders that have optic neuritis as the first manifestation can be challenging Diagnosing optic neuritis can take a few different approaches and it might feel frustrating while you go through the process Know that you aren t alone when this happens Talking to your provider about your concerns lets them know you need reassurance or encouragement

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Optic neuritis is an inflammatory demyelinating condition that causes acute usually monocular visual loss It is highly associated with multiple sclerosis MS Optic neuritis is the 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 1 4 It s possible for the optic nerve to be inflamed without affecting vision A careful medical evaluation of the eye can diagnose optic neuritis even if you don t have symptoms How is optic neuritis diagnosed Your healthcare provider can diagnose optic neuritis with these tests

Optic neuritis ON is a debilitating condition that through various mechanisms including inflammation or demyelination of the optic nerve can result in partial or total permanent vision loss if left untreated ON can be diagnosed based on clinical exams paraclinical evidence and magnetic resonance imaging MRI Typical ON presentation If you think you have optic neuritis see a doctor immediately for a comprehensive evaluation Getting an accurate diagnosis for ON early greatly improves the outcome of treatment A neurologist or ophthalmologist will assess your symptoms and medical history through a comprehensive eye exam

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Optic Neuritis When It Is And When It Isn t EyeWorld

https://www.eyeworld.org/2018/optic-neuritis-when...
If there is a high suspicion of optic neuritis Dr Habash said an MRI is warranted as it can help determine if the optic nerve is enhancing or if there are white matter lesions At that point I usually refer patients to a neuro ophthalmologist for treatment

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Optic Neuritis Symptoms amp Causes Mayo Clinic

https://www.mayoclinic.org/diseases-conditions/...
Optic neuritis occurs when swelling inflammation damages the optic nerve a bundle of nerve fibers that transmits visual information from your eye to your brain Common symptoms of optic neuritis include pain with eye movement and temporary vision loss in one eye


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Can Optic Neuritis Be Misdiagnosed - In a young patient history of eye pain associated with eye movement prior history of neurological symptoms such as paresthesia limb weakness and ataxia is suggestive of demyelinating optic neuritis These neurological complaints may have been