How is optic neuritis treated?

Written by Zhang Hui
Neurology
Updated on September 05, 2024
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Optic neuritis is generally caused by demyelinating diseases of the central nervous system, such as multiple sclerosis, neuromyelitis optica, and retrobulbar neuritis, all of which can lead to the onset. The main symptoms include a decline in vision, which can affect one eye or both eyes. The treatment of optic neuritis primarily includes: First, the use of corticosteroids, which can alleviate the inflammatory response in the body and help in the recovery of optic nerve functions, is widely applied. Corticosteroids can be used systemically, and if necessary, administered retrobulbarly. Second, the intake of other immunosuppressants and immunoregulatory treatments, mainly during the remission phase, is to prevent relapse. Third, treatment can also involve the use of intravenous immunoglobulin, although it is relatively expensive. Additionally, it is necessary to take some B vitamins for related treatment.

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Written by Zhang Hui
Neurology
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Acupuncture treatment for optic neuritis

Optic neuritis is generally caused by demyelinating diseases, which are commonly seen in neurology such as multiple sclerosis and neuromyelitis optica. These conditions affect the function of the optic nerve, leading to a noticeable decline in the patient's vision. In addition to the use of high doses of steroids during the acute phase of treatment, ophthalmology can also administer corticosteroids via retrobulbar injection for corresponding treatment, along with some immunomodulatory therapies. In the field of traditional Chinese medicine, acupuncture treatment is advocated for vision impairment caused by optic neuritis. Studies suggest that acupuncture can help improve vision recovery and is effective in improving the active vision of the eyeball. This treatment can generally continue from two weeks to about two months. Many patients report that acupuncture treatment tends to have a relatively good prognosis. Hence, apart from pharmacological treatments, acupuncture can be utilized as an adjunct therapy for optic neuritis.

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Written by Zhang Hui
Neurology
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Can optic neuritis be treated without hospitalization?

Patients with optic neuritis generally experience severe symptoms, as failing to receive appropriate treatment can lead to a significant and potentially irreversible decline in vision, resulting in disability. It is recommended that patients with optic neuritis be hospitalized for treatment. Hospitalization is necessary to carry out various supportive tests, including lumbar puncture lab tests and comprehensive MRI scans. Treatment of optic neuritis also involves administering high doses of corticosteroids based on the patient's condition. It is difficult for patients to manage such high doses of corticosteroids at home. Moreover, doctors need to closely monitor for any adverse reactions caused by these steroids. Therefore, hospitalization is advised for the treatment of optic neuritis, as the risks and prognosis are considerably worse without it.

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Written by Zhang Hui
Neurology
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Why does optic neuritis keep recurring?

The recurrence rate of optic neuritis is quite high because this disease is a type of demyelinating disease of the central nervous system, caused by an immune dysfunction in the body. This immune dysfunction produces abnormal antibodies which attack the optic nerve, as well as the brain and spinal cord, leading to a variety of clinical manifestations. Therefore, as long as the patient's immune function is disordered and not corrected, recurrence is very likely to occur. To prevent the recurrence of optic neuritis, the main aspects include: First, regular physical exercise should be done to enhance physical fitness. Second, it is crucial to follow the doctor's advice and take corticosteroids or other immunosuppressants for a long time, which can help suppress the immune dysfunction. Third, dietary habits should also be carefully managed, with an increased intake of fresh vegetables and fruits and avoiding spicy and stimulating foods.

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Written by Zhang Hui
Neurology
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Optic neuritis hormonal side effects

Optic neuritis is a demyelinating disease caused by an inflammatory response, a disorder resulting from an immune dysfunction of the body. Thus, corticosteroids play a critical role in its treatment, and are widely used clinically. However, corticosteroids also have some side effects, such as causing osteoporosis, decalcification, and even necrosis of the femoral head, leading to significant obesity in patients due to redistribution of some fats, resulting in conditions like moon face and buffalo hump, and other adverse reactions including acne. Additionally, corticosteroids can have stimulating effects, potentially causing symptoms like insomnia and tachycardia; they also have gastrointestinal side effects, leading to acute ulcers and gastric mucosal lesions.

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Written by Zhang Hui
Neurology
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How is optic neuritis diagnosed?

Optic neuritis is classified as an ophthalmological or neurological disorder, caused by demyelination of the central nervous system. Diagnosis of this condition is crucial, and the following tests are recommended: Firstly, visual evoked potentials should be performed. This test can clearly show the corresponding lesions in the optic nerve. Secondly, magnetic resonance imaging (MRI) of the optic nerve is needed. MRI can reveal changes in the optic nerve, such as thickening and edema. Thirdly, some blood tests related to bleeding should be conducted. Specifically, testing for aquaporin-4 antibodies to determine if it is neuromyelitis optica. Additionally, a lumbar puncture is also necessary. This primarily aims to check for demyelination markers, such as oligoclonal bands. Once optic neuritis is diagnosed, timely treatment is required, mainly using corticosteroids or intravenous immunoglobulin.