Optic neuritis: clinical features

Evidence-based neurology checklist on optic neuritis: clinical features: Onset and progression Onset age is usually < 50 years There is subacute unilateral visual impairment It is progressive over days Improvement occurs after 2-3 weeks Features of eye pain Other symptoms Relative apparent…

Onset and progression

  • Onset age is usually < 50 years
  • There is subacute unilateral visual impairment
  • It is progressive over days
  • Improvement occurs after 2-3 weeks

Features of eye pain

Other symptoms

Relative apparent pupillary defect (RAPD)

Uhthoff’s phenomenon

Pulfrich phenomenon

Fundoscopy

Other features

Optical coherence tomography (OCT)

Differential diagnosis

Treatment

References

  1. Voss E, Raab P, Trebst C, Stangel M. Clinical approach to optic neuritis: pitfalls, red flags and differential diagnosis. Ther Adv Neurol Disord 2011; 4:123-134.
  2. Hoorbakht H, Bagherkashi F. Optic neuritis, its differential diagnosis and management. Open Ophthalmol J 2012; 6:65-72.
  3. Foroozan R, Buono LM, Savino PJ, Sergott RC. Acute demyelinating optic neuritis. Curr Opin Ophthalmol 2002; 13:375-380.
  4. Shams PN, Plant GT. Optic neuritis: a review. Int MS J 2009; 16:82-89.
  5. Behbehani R. Clinical approach to optic neuropathies. Clin Ophthalmol 2007; 1:233-246.
  6. And 7 more. Subscribe to see the full list

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