Accutane and optic neuritis
Common Questions and Answers about Accutane and optic neuritis
accutane
meanwhile the opthamologist neurologist told me I had optic neuritis, and was losing my color vision in one eye. how is it that she can tell me one thing but the MRI tells me another? my symptoms are only getting worse. is the doctor room or the MRI wrong?
what could be wrong with me? the doctor also said I could have multiple sclerosis because of my optic neuritis and my symptoms. so now what?
these are my findings on the MRI.
Most people with optic neuritis (about 90%) experience pain when moving their eyes. This pain usually subsides after a couple of days, even if vision is still affected.
Appearing Over a Couple of Days: For most people, the onset is pretty rapid, with the peak vision loss occurring within 24 to 48 hours of onset.
Usually Only in One Eye: Optic neuritis can affect the vision in both eyes simultaneously, but this is extremely rare.
Pain. Most people who develop optic neuritis experience eye pain that's worsened by eye movement. Pain associated with optic neuritis usually peaks within several days.
Vision loss. The extent of vision loss associated with optic neuritis varies. Most people experience at least some temporary reduction in vision. If noticeable vision loss occurs, it usually develops over the course of hours or days, and may be worsened by heat or exercise. Vision loss may be permanent in some cases.
It definitely is possible - I have confirmed MS and have not had a known case of ON.
I hope that helps.
Ocular herpes is an infective condition. There is a close relationship between optic neuritis and multiple sclerosis. It is a demyelinating disease characterized by degeneration of fatty covering called myelin surrounding the nerves in the central nervous system. Body’s own immune system starts attacking its own tissue limited to nervous system perceiving it as foreign. The optic nerve is the first area in the CNS to be attacked by the disease.
I recently went to an Opthalmologist because i was experiencing bad eye pressure, weird tingling in my head, and eye blurriness. The dr said that I had bilateral optic neuritis and told me that i need an mri....
I went and got an mri and everything came back ok. They were worried about the possibility of MS.
I have gone through sooo many tests, blood work, Lumbar Puncture and all the tests came back ok. No one can tell me what is causing the Bilateral optic neuritis.
Optic neuritis is one for of optic neuropathy (which means literally a sick optic nerve). Most cases of optic neuritis including MS do get better, many clear completely. Optic neuropathys due to glaucoma, compressive neuropathies (trauma, tumors), ischemic neuropathies (example temporal arteritis) often do not improve or get worse.
I do not claim to be an expert on neurophysiologic testing of the eye but I would never make a diagnosis based in just changes in amplitude and latency of the test.
Optic neuritis is inflammation of the optic nerve anyplace between inside the eye and where the optic nerve ends in the brain. Retrobulbar neuritis is a for of ON where the inflammation is behind the eye and can't usually be seen when the MD looks in the eye.
Read this excellent reference:
http://www.emedicine.com/Radio/topic488.
However, over the past week, I have gone to another Eye specialist-Neuro-opthalmologist who said it was NOT optic-neuritis and could not define what it was I had. I then went back to my primary care doctor who referred me to a Neurologist. I have an appointment next week. I"m concerned b/c I could of had optic-neuritis and due to my severe pain, it could of now changed to something else.
dr side I have a very mile form of ms, that's great. I now can't see out of my left eye. have ataxia, and I vibrate. I have Ben told I was bipolar. its all in your head? my daughter things I'm a hype, I don't think you can fake optic neuritis? and the heat kills me I us to love getting I tan now I CANT. so now what ?
Mainly I want to answer your question about whether the Ophthalmologist would always see evidence of optic neuritis. The answer is a definite no, at least not on examing the optic nerve. In 50% or more of cases the optic nerve looks normal in the presence of confirmed optic neuritis. This is because the demyelinating lesion is too far back on the optic nerve to show signs at the eye itself.
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