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Saturday, September 17, 2022

Optic Neuritis

emDOCs - September 12, 2022 - By Tallib Karaze and Matt Baluzy
Reviewed by: Courtney Cassella; Alex Koyfman; Brit Long
Take Home Points
  • Optic neuritis is a clinical diagnosis and presents with acute vision change, pain with eye movements, changes in color vision, and an RAPD on exam. Additional studies such as MRI, POCUS, serum, and CSF studies can aid in the diagnosis.
  • Neurology, ophthalmology, or a neuro-ophthalmologist should be consulted to help guide management decisions.
  • Treatment options for typical optic neuritis include three days of either IV methylprednisolone or high dose oral prednisone, followed by low-dose oral prednisone and a steroid taper if needed.