Time Is a Predictor: A Case of Idiopathic Optic Neuritis
Abstract
Background: Optic neuritis is an inflammatory condition causing visual impairment, mainly affecting females aged 20-40. It's a rare condition, with idiopathic ON presenting unique diagnostic challenges.
Purpose: Early detection and intervention are crucial, with optometrists playing a key role in comprehensive evaluations using OCT and visual field testing.
Case Description: A 20-year-old male with progressively worsening vision experienced afferent pupillary defect, reduced contrast sensitivity, and color vision.
Results: A multidisciplinary team managed the condition, including methylprednisolone, oral prednisone, neurotrophic support, and antibiotics.
Conclusions: The case highlights the significance of early optometric evaluation in detecting and managing optic neuritis, facilitated by advanced diagnostic techniques. The improved visual acuity demonstrates the benefits of early intervention, emphasizing the role of optometrists in preserving vision and enhancing patient outcomes.
-
Page Number : 50-53
-
Published Date : 2024-04-20
-
Keywords
Optic neuritis, Optometric evaluation, Co-management, Visual impairment, Retina
-
DOI Number
10.15415/jmrh.2024.102007
-
Authors
Devanshi Dalal and Nita Makwana
References
- Benard-Seguin, E., & Costello, F. (2023). Optic neuritis: current challenges in diagnosis and management. Current opinion in neurology, 36(1), 10-18. https://doi.org/10.1097/WCO.0000000000001128
- Bergeron, E., & Bouffard, M. A. (2024). Evidence-based management of optic neuritis. Current Opinion in Ophthalmology, 35(1), 73-82. https://doi.org/10.1097/ICU.0000000000001007
- De Lott, L. B., Bennett, J. L., & Costello, F. (2022). The changing landscape of optic neuritis: a narrative review. Journal of neurology, 1-14. https://doi.org/10.1007/s00415-020-10352-1
- Kale, N. (2016). Optic neuritis as an early sign of multiple sclerosis. Eye and brain, 195-202. https://doi.org/10.2147/EB.S54131
- Laviers, H., Petzold, A., & Braithwaite, T. (2024). How far should I manage acute optic neuritis as an ophthalmologist? A United Kingdom perspective. Eye, 1-8. https://doi.org/10.1038/s41433-024-03164-4
- Petzold, A., Fraser, C. L., Abegg, M., Alroughani, R., Alshowaeir, D., Alvarenga, R., Plant, G. T., et al. (2022). Diagnosis and classification of optic neuritis. The Lancet Neurology, 21(12), 1120-1134. https://doi.org/10.1016/S1474-4422(22)00200-9
- Phu, J., Khuu, S. K., Yapp, M., Assaad, N., Hennessy, M. P., & Kalloniatis, M. (2017). The value of visual field testing in the era of advanced imaging: clinical and psychophysical perspectives. Clinical and Experimental Optometry, 100(4), 313-332. https://doi.org/10.1111/cxo.12551
- Phuljhele, S., Kedar, S., & Saxena, R. (2021). Approach to optic neuritis: An update. Indian journal of ophthalmology, 69(9), 2266-2276. https://doi.org/10.4103/ijo.IJO_3415_20
- Salmon, J. F. (2024). Kanski's clinical ophthalmology e-book: a systematic approach. Elsevier Health Sciences.
- Shin, H. J., & Costello, F. (2024). Imaging the optic nerve with optical coherence tomography. Eye, 38(12), 2365-2379. https://doi.org/10.1038/s41433-024-03165-3
- Wylezinski, L. S., Gray, J. D., Polk, J. B., Harmata, A. J., & Spurlock III, C. F. (2019). Illuminating an invisible epidemic: a systemic review of the clinical and economic benefits of early diagnosis and treatment in inflammatory disease and related syndromes. Journal of Clinical Medicine, 8(4), 493. https://doi.org/10.3390/jcm8040493