Optic neuritis is inflammation of the optic nerve. It may cause sudden, reduced vision in the affected eye.
The exact cause of optic neuritis is unknown.
The optic nerve carries visual informations from your eye to the brain. Sudden swelling of this nerve can damage the insulation (myelin sheath) surrounding each nerve fiber. This can result in permanent visual loss.
Conditions that have been linked with optic neuritis include:
A complete medical examination can help rule out related diseases. Tests may include:
Vision often returns to normal within 2 - 3 weeks with no treatment.
Corticosteroids given through a vein (IV) or taken by mouth may speed up recovery. Higher doses should be used cautiously, as they can have serious side effects.
Further tests may be needed to determine the cause of the neuritis. The condition causing the problem can then be treated.
People who have optic neuritis without a disease such as multiple sclerosis have a good chance of recovery.
About 1 in 5 patients with a first episode of optic neuritis will develop myelin sheath inflammation elsewhere in the body, or will develop multiple sclerosis.
Call your health care provider immediately if you have a sudden loss of vision in one eye, especially if you have eye pain.
If you have been diagnosed with optic neuritis, call your health care provider if:
Glaser JS. Topical diagnosis: prechiasmal visual pathways. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 5.
Sra SK, Sra KK, Friedlaender M, Trocme SD. Immunology of neurologic and endocrine diseases that affect the eye. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 35.
Updated by: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California.
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