Differential Diagnosis for Retrobulbar Optic Neuritis (normal appearance of optic nerve and vision loss) Of note, the conditions noted below tend to be painless in nature, whereas 92% of patients with demyelinating ON present with some form of eye pain and/or eye pain with movement.
2020-03-19
Copy link. Info. Shopping. Tap to unmute. If playback doesn't begin shortly, try restarting your device. Optic neuritis (On) is the presence of an acute inflammation of the optic nerve that results in painful loss of vision.
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1958 May; 45 (5):659–662. RINTELEN F. [On a study of conduction disorders of the fasiculus opticus, especially "apoplexia papillae"]. Ophthalmologica. 1961 Apr; 141:283–289. SINGH S, DASS R. The central artery of the retina. II. Retrobulbar neuritis, an inflamed optic nerve, but with a normal-appearing nerve head, is associated with pain and the other findings of papillitis.
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Optic papillitis is a specific type of optic neuritis. Inflammation of the optic nerve head is called "papillitis" or "intraocular optic neuritis"; inflammation of the orbital portion of the nerve is called "retrobulbar optic neuritis" or "orbital optic neuritis".
Am J Ophthalmol. 1958 May; 45 (5):659–662. RINTELEN F. [On a study of conduction disorders of the fasiculus opticus, especially "apoplexia papillae"]. Ophthalmologica.
Optic neuritis describes any condition that causes inflammation of the optic nerve; it may be associated with demyelinating diseases, or infectious or inflammatory processes. It is also known as optic papillitis, neuroretinitis when there is a combined involvement of optic disc and surrounding retina in the macular area and retrobulbar neuritis. It is most often associated with multiple sclerosis, and it may lead to complete or partial loss of vision in one or both eyes. Other causes include: Id
This is called retrobulbar neuritis. Optic Neuritis (ON) is defined as inflammation of the optic nerve, which is mostly idiopathic. However it can be associated with variable causes (demyelinating lesions, autoimmune disorders Papilledema is swelling of the optic nerve(s) due to increased intracranial pressure. It most commonly presents bilaterally, but may be asymmetric or unilateral in rare cases as well.
Diagnosis • The diagnosis of optic neuritis is clinical, based on the history and physical findings. One-third of patients have visible optic nerve inflammation on funduscopic examination (papillitis); in the remainder, the inflammation is retrobulbar. (See 'Acute features' above.) Chronic signs of optic neuritis include a relative afferent pupillary defect, color desaturation, and optic atrophy. Optic Neuritis: Diagnosis, Treatment, and Prognosis Release Date: March 24, 2008 Introduction Optic neuritis is a term used to refer to inflammation of the optic nerve. [arabmedmag.com] One trial (small and non-randomised, using a different regimen) reported improved vision with immunoglobulin treatment. W h e n optic neuritis is mentioned in this article, it means optic neuritis with papillitis.
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Papillitis: Depressed Color Perception 5.
Optic neuritis is generally classified according to the part of the optic nerve that is affected. The symptoms and treatment are generally the same regardless.
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Acute papillitis, cranial arteritis, and atherosclerotic ischaemic optic neuropathy are similar to that occurring in optic neuritis has occasionally been reported.
Differenial diagnosis Papillitis vs papilledema Acute retrobulbar neuritis vs indirect optic neuropathy, cortical blindness 16. Diagnosis • The diagnosis of optic neuritis is clinical, based on the history and physical findings. One-third of patients have visible optic nerve inflammation on funduscopic examination (papillitis); in the remainder, the inflammation is retrobulbar. (See 'Acute features' above.) Chronic signs of optic neuritis include a relative afferent pupillary defect, color desaturation, and optic atrophy. Optic Neuritis: Diagnosis, Treatment, and Prognosis Release Date: March 24, 2008 Introduction Optic neuritis is a term used to refer to inflammation of the optic nerve.