Steffen Heimo, Tabibian David
Rev Med Suisse. 2015 Dec 16;11(499):2388, 2390-4.
Optic neuritis is one of the most important causes of visual loss in young and middle aged adults. The prognosis in terms of functional outcome is good. The diagnosis of optic neuritis is a clinical one. Steroids can shorten the recovery time but do not change the long term functional outcome. The MRI is the most important investiga- tion to assess an associated risk of multiple sclerosis. Optic cohe- rence tomography (OCT) contribute additional details to course and functional outcome of optic neuritis. In the future the OCT may additionally contribute to the relationship between optic neuritis and possible associated multiple sclerosis.
视神经炎是中青年视力丧失的最重要原因之一。就功能预后而言,情况良好。视神经炎的诊断是临床诊断。类固醇可以缩短恢复时间,但不会改变长期功能预后。磁共振成像(MRI)是评估多发性硬化相关风险的最重要检查。光学相干断层扫描(OCT)为视神经炎的病程和功能预后提供了更多细节。未来,OCT可能还会有助于揭示视神经炎与可能相关的多发性硬化之间的关系。