Optic Neuritis - Treatments

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What is the treatment for optic neuritis?

If a definite cause (such as infection or underlying other disease) is determined, appropriate therapy for that cause can be instituted.

The Optic Neuritis Treatment Trial, a multicenter randomized trial with 15 years of follow-up, showed that oral steroid (prednisone) alone, had no benefit on recovery to normal visual acuity. High-dose intravenous steroids, which involve some risks and can have significant side effects in some patients - e.g. elevated blood sugar, depression, insomnia, gastrointestinal symptoms, etc. - did speed up the initial recovery of vision in the acute phase. However, there was no conclusive evidence that oral or intravenous steroids had any long-term benefit on visual acuity, visual field or contrast sensitivity five years later.

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Comment from: Truckingangel05, 25-34 Female (Patient) Published: February 26

I had brain surgery in 2012. My neuro eye doctor couldn"t figure out why my optic nerves were swollen; because my head had been cut open. Along with blurred vision I was having bad head pressure. Top and back of head hurt to touch. So he sent me to the emergency room where they did an MRI and MRV. I also had a spinal tap because my pressure was severely high. Following week the neuro eye doctor put me on acetazolamide and I was still having head pressure but no blurred vision. I went to see a neuro oncologist and he upped the dose to 2 pills 3 times a day. I"ve had bare minimal head pressure but he said optic nerves are still swollen. So I'm hoping the medications continue to work and the optic nerves go back to normal.

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Comment from: mamalisa, 19-24 Female (Patient) Published: May 22

I have had bone spurs from both heels removed 20 years ago which was great, but I have both hips and spine spurs now. I can't walk just to and from the car, I don't carry much, and steps are a no, no. I can't stand to do dishes, I am having pain with any motion, no pain when I sit or lie. I have a lot of depression and anxiety from pain, so I feel useless.

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