Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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Original Article


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400-405


Authors Details

Anuradha A, Priyam Gupta*, Vidyadevi M


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A clinical study of patients with optic neuritis in a tertiary eyecare centre


Original Article

Author Details : Anuradha A, Priyam Gupta*, Vidyadevi M

Volume : 6, Issue : 3, Year : 2020

Article Page : 400-405

https://doi.org/10.18231/j.ijceo.2020.086



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Abstract

Purpose: To evaluate the clinical profile and visual outcome of optic neuritis patients presenting to a tertiary
eyecare centre.
Materials and Methods: It is a retrospective hospital-based study carried out over a period 5 years
between 2013 to 2018 in a tertiary eyecare centre in South India. Case records of 20 patients diagnosed and
treated for optic neuritis were evaluated based on clinical profile, type of presentation and visual outcome.
Results: Patients had a mean age was 34.713.5 years. 60% presented in age group of 20-40years. Male
preponderance was seen (65% of cases). Papillitis (65% of eyes) was more common than retrobulbar
neuritis (35% of eyes). Unilateral involvement was seen in 85% of cases with Bilateral presentation seen
in only 15% cases. Baseline visual acuity in 10(43%) patients was in the range of Counting fingers to
<6>= 6/60, 5(22%) patients had Hand movements positive and 5(22%)
had Perception of light positive. Periocular pain was seen in 8(40%) of the cases. 13(56%) patients had
defective colour vision. 16(70%) patients had Grade 3-4 RAPD while the remaining had grade 1-2 RAPD.
One patient was diagnosed with multiple sclerosis (MS). Recurrence was seen in 1 patient (5%). After
treatment with 3 doses of 1gm IV Methylprednisolone 15 patients (74% of eyes) showed improvement in
vision, 7 eyes (35%) had improvement in colour vision, 4 eyes (20%) had improvement in pupillary reaction
after 3 doses of IV Methylprednisolone.
Conclusion: Optic neuritis is idiopathic in nature. Papillitis is the commonest presentation when compared
to Retrobulbar neuritis.

Keywords: Multiple sclerosis, IV Methylprednisolone, Optic disc swelling, Optic neuritis, Optic neuritis treatment Trial
Papillitis, Retrobulbar optic neuritis.


How to cite : Anuradha A, Gupta P , Vidyadevi M, A clinical study of patients with optic neuritis in a tertiary eyecare centre. Indian J Clin Exp Ophthalmol 2020;6(3):400-405

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