How long is the recovery period for optic neuritis?

Written by Zhang Hui
Neurology
Updated on September 15, 2024
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Optic neuritis is a demyelinating disease of the central nervous system. Besides affecting the optic nerve and causing a decrease in vision, it also impacts the brain's white matter and the spinal cord, leading to symptoms such as limb paralysis, numbness, and bladder and bowel dysfunction. Generally, the recovery period for optic neuritis is about six months, with the first three months being the most critical for recovery. If recovery has not occurred by six months, it is then considered a chronic phase, and further recovery becomes very challenging. It is crucial to diagnose and treat the condition promptly. Treatment primarily involves the use of corticosteroids, immunoglobulins, and potentially B-group vitamins to nourish the nerves. Overall, most patients with optic neuritis can recover substantially; however, the condition is prone to relapse, and the prognosis is poor if it reoccurs.

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Written by Zhang Hui
Neurology
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Optic neuritis treated with steroids

Optic neuritis is a demyelinating disease of the central nervous system, primarily including optic neuritis caused by multiple sclerosis, as well as neuromyelitis optica and retrobulbar neuritis, among others. These diseases are caused by abnormal immune responses of the body and are closely related to immune dysfunction. Therefore, optic neuritis is mainly treated with corticosteroids. Corticosteroids can inhibit the body's immune response to achieve the purpose of alleviating the disease. However, the use of steroids should also pay attention to some related risks. For instance, there might be occurrences of osteoporosis and even osteonecrosis of the femoral head, potential disturbances in electrolyte, fat, and sugar metabolism in the body, the possibility of developing centripetal obesity, and the potential for gastric ulcers. Close monitoring is essential, and other immunosuppressants may be added if necessary. (Use of medications should be under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Can optic neuritis recover by itself?

Optic neuritis is a demyelinating disease of the central nervous system, caused by an immune-inflammatory response of the body. Most patients with optic neuritis have severe immune dysfunction, making full recovery on their own very difficult. Although a very small number are fortunate enough to potentially self-heal without specific treatment, such cases are rare. Treatment for optic neuritis is essential because if left untreated, it could likely lead to permanent vision reduction. Additionally, the disease may also affect the brain and spinal cord, leading to clinical manifestations such as paralysis of limbs. Therefore, it is advisable to actively treat this condition. The primary treatment involves administration of corticosteroids and possibly long-term oral intake of immunomodulators to prevent recurrence. (Medications should be used under the guidance of a doctor based on specific conditions.)

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Written by Zhang Hui
Neurology
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Can people with optic neuritis eat spicy food?

Optic neuritis is essentially an inflammatory response of the immune system, primarily caused by disorders of the body's own immune functions. Patients with this condition are advised not to consume spicy foods, as these can lead to more pronounced immune dysfunction and potentially trigger these degenerative diseases. Therefore, it is recommended to avoid spicy foods. Additionally, patients with optic neuritis often need to take corticosteroids or immunosuppressants long-term, and should not consume spicy foods while on these medications. Besides avoiding spicy foods, patients with optic neuritis should also focus on eating fresh vegetables and fruits to enhance resistance and adjust immune dysfunction. Furthermore, they should consume foods high in B vitamins, such as soybeans, millet, corn, and sorghum.

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Written by Liu Hong Mei
Neurology
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How long should optic neuritis hormone be used?

Optic neuritis hormone treatment generally lasts about two to three weeks. Prolonged use of hormones may lead to dependency. If symptoms gradually improve, the dosage of hormonal medications can be slowly reduced and eventually stopped. Long-term use may lead to side effects such as obesity, acne, and necrosis of the femoral head. Optic neuritis primarily involves demyelination of the optic nerve, causing changes in the optic nerve. It is important to exercise moderately, strengthen physical health, and enhance immunity in daily life. Eat fresh vegetables and fruits, and avoid spicy, stimulating, and hard-to-digest foods. Engage in outdoor aerobic activities, such as walking, jogging, swimming, and cycling.

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Written by Zhang Hui
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What tests need to be done for optic neuritis?

Optic neuritis is usually caused by demyelinating diseases of the central nervous system, and generally requires the following examinations to be completed. First, it is necessary to complete an MRI scan of the optic nerve to assess if there is any abnormal swelling or abnormal signals in the optic nerve. Second, these patients also need to undergo brain MRI and spinal cord MRI scans, as optic neuritis patients may experience demyelination of brain white matter and the spinal cord. Third, it is important to complete examinations of serum and cerebrospinal fluid for aquaporin-4 antibodies. If this antibody is positive, it is of significant reference value for the diagnosis of neuromyelitis optica. Additionally, visual evoked potentials and examinations like OCT of the fundus are also necessary.