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Abstract

A 21-year-old male presented to the emergency department with the history of rapidly progressive diminution of vision in his right eye associated with headache and pain with eye movement for 5 days. It was not associated with double vision, tingling, numbness, or weakness of his body parts. He did not give any history of preceding fever, rashes, joint pain, oral ulcers, or recent immunization. Best corrected visual acuity was 6/60 and 6/6 in right and left eye respectively with RAPD in the right eye. Rest of the anterior and posterior segment findings were normal. He was diagnosed as right optic neuritis and appropriate investigations were sent while starting treatment.

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References

  1. Shams P, Plant G. Optic neuritis: a review. Int MS J. 2009;16(3):82–9.

    CAS  PubMed  Google Scholar 

  2. Pau D, Al Zubidi N, Yalamanchili S, Plant G, Lee AG. Optic neuritis. Eye. 2011;25(7):833.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Woung L-C, Chung H-C, Jou J-R, Wang K-C, Peng P-H. A comparison of optic neuritis in Asian and in Western countries. Neuro-ophthalmology. 2011;35(2):65–72.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Seah B, Tow S, Ong OK, Yang C, Tsai C, Lee K, et al. The natural history of optic neuritis in Asian patients: an observational cohort study. Neurol Asia. 2017;22(4):341–8.

    Google Scholar 

  5. Beck RW. The optic neuritis treatment trial. Arch Ophthalmol. 1988;106(8):1051–3.

    Article  CAS  PubMed  Google Scholar 

  6. Optic Neuritis Study Group. The clinical profile of optic neuritis: experience of the optic neuritis treatment trial. Arch Ophthalmol. 1991;109:1673–8.

    Article  Google Scholar 

  7. Wakakura M, Minei-Higa R, Oono S, Matsui Y, Tabuchi A, Kani K, et al. Baseline features of idiopathic optic neuritis as determined by a multicenter treatment trial in Japan. Jpn J Ophthalmol. 1999;43(2):127–32.

    Article  CAS  PubMed  Google Scholar 

  8. Wang JC, Tow S, Aung T, Lim SA, Cullen JF. The presentation, aetiology, management and outcome of optic neuritis in an Asian population. Clin Exp Ophthalmol. 2001;29(5):312–5.

    Article  CAS  PubMed  Google Scholar 

  9. Ratchford J, Quigg M, Conger A, Frohman T, Frohman E, Balcer L, et al. Optical coherence tomography helps differentiate neuromyelitis optica and MS optic neuropathies. Neurology. 2009;73(4):302–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Beck RW, Trobe JD, Optic Neuritis Study Group. What we have learned from the optic neuritis treatment trial. Ophthalmology. 1995;102(10):1504–8.

    Article  CAS  PubMed  Google Scholar 

  11. O'Connor P. The effects of intramuscular interferon beta-Ia in patients at high risk for development of multiple sclerosis: a post hoc analysis of data from CHAMPS. Clin Ther. 2003;25(11):2865–74.

    Article  CAS  PubMed  Google Scholar 

  12. Comi G, Filippi M, Barkhof F, Durelli L, Edan G, Fernández O, et al. Effect of early interferon treatment on conversion to definite multiple sclerosis: a randomised study. Lancet. 2001;357(9268):1576–82.

    Article  CAS  PubMed  Google Scholar 

  13. Kappos L, Polman C, Freedman M, Edan G, Hartung H, Miller D, et al. Treatment with interferon beta-1b delays conversion to clinically definite and McDonald MS in patients with clinically isolated syndromes. Neurology. 2006;67(7):1242–9.

    Article  CAS  PubMed  Google Scholar 

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Sitaula, S. (2024). Optic Neuritis. In: Oli, K.K., Shrestha, G.S., Ojha, R., Pal, P.K., Pandey, S., Das, B. (eds) Case-based Approach to Common Neurological Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-99-8676-7_22

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  • DOI: https://doi.org/10.1007/978-981-99-8676-7_22

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