Optic neuritis recovery time steroids

The visual symptoms that occur in MS may be the result of optic neuritis — inflammation of the optic nerve — or lesions (damaged areas) along the nerve pathways that control eye movements and visual coordination. Optic neuritis may result in blurring or graying of vision, or blindness in one eye. A scotoma or dark spot may occur in the center of the visual field.

Optic neuritis is almost always self-limiting, and affected individuals generally make a good recovery. Studies suggest that treatment with intravenous methylprednisolone, sometimes followed by a tapered course of oral steroids, may be useful.

Acute optic neuritis is often treated with a  short course of high-dose intravenous solumedrol  (IVSM) or adrenocorticotropic hormone (ACTH) to speed visual recovery. A  review  of studies indicates that there are no treatments that improve visual outcomes in general. However, the ONTT study did demonstrate that fewer patients who received high-dose intravenous steroids followed by oral steroids developed clinically definite MS compared to patients who received oral steroids alone. Other treatments that have been studied with mixed results include plasma exchange and intravenous immunoglobulin (IVIG).

The most recognized cause of a toxic optic neuropathy is methanol intoxication. This can be a life-threatening event that normally accidentally occurs when the victim mistook, or substituted, methanol for ethyl alcohol . Blindness can occur with drinking as little as an ounce of methanol, but this can be counteracted by concurrent drinking of ethyl alcohol. The patient initially has nausea and vomiting, followed by respiratory distress, headache, and visual loss 18–48 hours after consumption. Without treatment, patients can go blind, and their pupils will dilate and stop reacting to light.

Whilst in Poland I had hearing tests (showed loss to high frequency in bad ear, also a little in good ear) and the caloric test using cold/warm water. Communication was limited here due to language barriers, they said the caloric test was the most important test I had and gave me a copy of the test result graphs which I don't understand. That's all I was told. I showed results to UK ENT consultant who thought they weren't too interesting as they were done when I was very ill. Following the caloric test in UK the doctor (well he claims he was a scientist not doctor) said that the balance in my left ear had been permantely destroyed, nerve damage i think? , that the vestibular isn't working properly (its hard to have a conversation after the test as they make you dizzy so can't think properly). He suggested I stop taking medication as it slows recover and to start the brain training exercises, especially focusing on the unpleasant ones. Further hearing tests in UK showed loss of high frequency sound in bad ear, but most recent test showed this had slightly improved. Apparently I was lucky to have not lost more hearing.

In patients with recurrent optic neuritis secondary to multiple sclerosis, there are approved disease-modifying agents that reduce disease activity and disease progression for many people with relapsing forms of MS, including relapsing-remitting MS, as well as progressive forms of MS in those people who experience relapses. These include injectable forms of interferon beta, glatiramer acetate, and the biologic monoclonal antibody, daclizumab . Oral medications include teriflunomide ( Aubagio ), fingolimod ( Gilenya ), and dimethyl fumarate .

Optic neuritis recovery time steroids

optic neuritis recovery time steroids

Whilst in Poland I had hearing tests (showed loss to high frequency in bad ear, also a little in good ear) and the caloric test using cold/warm water. Communication was limited here due to language barriers, they said the caloric test was the most important test I had and gave me a copy of the test result graphs which I don't understand. That's all I was told. I showed results to UK ENT consultant who thought they weren't too interesting as they were done when I was very ill. Following the caloric test in UK the doctor (well he claims he was a scientist not doctor) said that the balance in my left ear had been permantely destroyed, nerve damage i think? , that the vestibular isn't working properly (its hard to have a conversation after the test as they make you dizzy so can't think properly). He suggested I stop taking medication as it slows recover and to start the brain training exercises, especially focusing on the unpleasant ones. Further hearing tests in UK showed loss of high frequency sound in bad ear, but most recent test showed this had slightly improved. Apparently I was lucky to have not lost more hearing.

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