Optic neuritis: clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Optic neuritis: clinical features. Onset age is usually < 50 years. There is subacute unilateral visual impairment. Fully referenced neurology checklist.
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
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Other symptoms
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Relative apparent pupillary defect (RAPD)
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Uhthoff’s phenomenon
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Pulfrich phenomenon
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Fundoscopy
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Other features
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Differential diagnosis
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Treatment
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References
- 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.
- Hoorbakht H, Bagherkashi F. Optic neuritis, its differential diagnosis and management. Open Ophthalmol J 2012; 6:65-72.
- Foroozan R, Buono LM, Savino PJ, Sergott RC. Acute demyelinating optic neuritis. Curr Opin Ophthalmol 2002; 13:375-380.
- Shams PN, Plant GT. Optic neuritis: a review. Int MS J 2009; 16:82-89.
- Behbehani R. Clinical approach to optic neuropathies. Clin Ophthalmol 2007; 1:233-246.
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