Kaur Kirandeep, Gurnani Bharat, Devy Nirmala
Aravind Eye Hospital, Pondicherry, India.
Aravind Eye Hospital, Chennai, India.
GMS Ophthalmol Cases. 2020 Feb 27;10:Doc11. doi: 10.3205/oc000138. eCollection 2020.
Demyelination is the most common cause of optic neuritis. Typical optic neuritis needs intravenous steroids followed by tapering dose oral steroids. Atypical optic neuritis entails clinical manifestations that deviate from the classic pattern of features. Atypical ON can have devastating visual results if not treated in a timely fashion. Thus, it is critical that cases of atypical optic neuritis are recognized early to initiate proper treatment and preserve vision. Our case presented as an atypical case of optic neuritis. The patient had painless onset and was not responding to steroids, but presentation in the other eye and systemic administration of antivirals helped in management of this case.
脱髓鞘是视神经炎最常见的病因。典型的视神经炎需要静脉注射类固醇，随后逐渐减少口服类固醇的剂量。非典型视神经炎的临床表现偏离了典型的特征模式。如果不及时治疗，非典型视神经炎可能会导致严重的视力损害。因此，早期识别非典型视神经炎病例以启动适当治疗并保护视力至关重要。我们的病例表现为非典型视神经炎。患者起病无痛，对类固醇治疗无反应，但另一只眼出现症状以及全身使用抗病毒药物有助于该病例的治疗。
