Optic neuritis recovery time steroids

Since almost 50% of optic neuritis is likely a result of a post-viral immune reaction, minimizing your risk of acquiring a viral respiratory infection decreases your risk of optic neuritis. It is impossible to totally avoid exposure to respiratory viruses, but research has shown that frequent hand-washing and attempting to not touch one's face without first washing one's hands decreases the incidence of the common cold . Teaching children to cover their mouths and noses when sneezing and instructing them on personal hygiene can also decrease the chances of upper respiratory virus spreading within families.

Findings from the Optic Neuritis Treatment Trial, January 21, 1992: This randomized, multicenter clinical trial was supported by the National Eye Institute, a component of the National Institutes of Health (NIH). The trial evaluated the safety and efficacy of corticosteroid treatment in over 450 patients with optic neuritis. It found that oral prednisone (prescribed in a dosage of 1 mg/kg/day for 14 days) was not only ineffective in speeding recovery or in improving the visual outcome after optic neuritis, but actually increased a patient's risk for future attacks in either the affected or fellow eye. Specifically, trial investigators found that 27 percent of the patients taking oral prednisone had at least one new attack of optic neuritis during followup, which for some patients was as long as two years. In contrast, patients who received an oral placebo had a 15 percent rate of subsequent optic neuritis. Based on these findings, the trial investigators have concluded that there is no role for oral prednisone alone in standard dosages in the treatment of patients with initial episodes of optic neuritis. The complete findings from this study are published in the N Engl J Med 1992 Feb 27;326(9):581-588. Contacts: Judith Stein or Bob Kuska (301) 496-5248.

Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.

Optic neuritis is one of the most important causes of visual loss in young and middle aged adults. The prognosis in terms of functional outcome is good. The diagnosis of optic neuritis is a clinical one. Steroids can shorten the recovery time but do not change the long term functional outcome. The MRI is the most important investiga- tion to assess an associated risk of multiple sclerosis. Optic cohe- rence tomography (OCT) contribute additional details to course and functional outcome of optic neuritis. In the future the OCT may additionally contribute to the relationship between optic neuritis and possible associated multiple sclerosis.

Optic neuritis recovery time steroids

optic neuritis recovery time steroids

Optic neuritis is one of the most important causes of visual loss in young and middle aged adults. The prognosis in terms of functional outcome is good. The diagnosis of optic neuritis is a clinical one. Steroids can shorten the recovery time but do not change the long term functional outcome. The MRI is the most important investiga- tion to assess an associated risk of multiple sclerosis. Optic cohe- rence tomography (OCT) contribute additional details to course and functional outcome of optic neuritis. In the future the OCT may additionally contribute to the relationship between optic neuritis and possible associated multiple sclerosis.

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