solumedrol for optic neuritis

Hi everyone. I’ve been dealing with Optic Neuritis in my right eye since 2017, due to vision changes I’ve seen my Optometrist, 2 Opthamologists, a Retina Specialist and a Neuro-Opthamologist. All came to same conclusion that my changes in vision is not a problem with my eyes but that Optic Neuritis was the culprit. However 4 MRIs of my brain and cervical spine have showed no lesions only white matter hyperintensities on my last brain MRI.

It's quite likely that your daughter will have a reoccurence of optic neuritis, either in the same eye or the other one. If it looks like she's going into a flare, the experts recommend an IV infusion of solumedrol. IV steroids are better at preventing reoccurence of ON over the oral steroid... don't know why, that's just what they say.

Hello I am a 25 year old female and four weeks ago I was diagnosed with optic neuritis, I was admitted to the hospital for 5 days of IV solumedrol therapy (1000 mg a day). After the treatment my vision mostly came back and the eye pain was completely gone. At the same time I also had a burning arm pain in my right arm with numbness and tingling into my fingers. During my hospital stay I had an MRI of my head, which was normal.

Hi. I have been very confused about symptoms that I have been having on and off over the last eight years. Any advice would be greatly appreciated. I was very healthy up until age 20 when I was working out at the gym i noticed my vision was becoming blurry. By the next morning I noticed a big bling spot in my left eye. After a couple of opthamologists I finally saw a neuro-opthamologist who wasn't sure whether it was anterior ischemic optic neuropathy or optic neuritis.

If there is a way to stop a flair-up in it's tracks, I would like to know what it is. Even steroids are no guarantee that it will stop a flair-up. It's usually given for periods of Optic Neuritis, where your very sight is at risk.

If you have a pale optic nerve, has either the ophthalmologist or the neurologist sent you from a VEP? If you have active optic neuritis, IV Solumedrol 1 gm per day for 3-5 days followed by an oral taper dose is the normal therapy. It may resolve the flashes if they are related to optic neuritis.

This is a good drug, but very hard on someone that is prone to high blood pressure and high blood sugar. Her first treatment with Solumedrol, did not seem to work for her, as well as it did for me. My Optic Neuritis (abbreviated- O.N.) was totally gone in 2 weeks. She said her one eye never really went back to normal. Now the other eye starts. Since the beginning of her attack, she has not been in remission yet. This is a long first attack. I pray for a remission.

I do think you can get support from others with their own experiences with optic neuritis. My vision took probably a year to improve and it has been so gradual. I no longer see double. I do get blurry vision still when I'm overheated or tired. I do have a permament black spot in my field of vision, but it's not big. I will have washed-out color issues in my eye when I'm too warm.

MRI of the orbits with gadolinium contrast shows enhancement of the affected optic nerve in approximately 95% of cases of optic neuritis, whereas optic nerve enhancement rarely occurs in nonarteritic anterior ischemic optic neuropathy." http://www.ccjm.org/index.php?

IV Solumedrol gives you the best chance for quick resolution of vision issues that can be experienced as part of an optic neuritis MS flare. Unfortunately, recovery from optic neuritis can still be very slow and take weeks to months to reach it's full recovery potential. Many people recover to the point they feel they can see as well as before the attack. Others find out each flare takes a piece of their vision that is never fully returned. Every person and every flare is different.

Then one half of the vision from the left optic nerve goes down the left optic tract and the other half goes down the right optic tract. Same for the right eye. Both the left and right optic tracts end up in the optic cortex in the occipital lobe of the brain. So it is possible that even though it may be reported that the delay is in the right optic nerve, the location of the latency can be in the optic chasm or left or right optic tract.

s of ANY comfort to you, I have been diagnosed with MS for 12+ years. Anytime I have had Optic Neuritis, it seems to always be in my right eye. This of course is not to say that is cannot happen in one eye, then the next. I am just trying to offer you a little comfort. I know how worried you are about the ON. It's not something to fool around with and not treat. My neurologist will ALWAYS suggest a round of Solumedrol to try and get the ON calmed down and quickly.

Hi everyone. I’ve been dealing with Optic Neuritis in my right eye since 2017, due to vision changes I’ve seen my Optometrist, 2 Opthamologists, a Retina Specialist and a Neuro-Opthamologist. All came to same conclusion that my changes in vision is not a problem with my eyes but that Optic Neuritis was the culprit. However 4 MRIs of my brain and cervical spine have showed no lesions only white matter hyperintensities on my last brain MRI.

My doctor prescribed another round of Solumedrol which is scheduled for next week (30 days from the first one). I am trying to decide whether I want to do the 2nd round of Solumedrol. It made me feel horrible and was a miserable 4 or 5 days. I guess my question is whether the 2nd round would be beneficial at this point or if the lingering effects are something I am going to have to deal with from now on. Any thoughts or suggestions are appreciated.

Hello I am a 25 year old female and four weeks ago I was diagnosed with optic neuritis, I was admitted to the hospital for 5 days of IV solumedrol therapy (1000 mg a day). After the treatment my vision mostly came back and the eye pain was completely gone. At the same time I also had a burning arm pain in my right arm with numbness and tingling into my fingers. During my hospital stay I had an MRI of my head, which was normal.

This pain has gotten worse in the past couple of days. My doctor has me starting on solumedrol for the first time on Tuesday.

BTW - I do have MS and have had 1 -2 courses of steroids per year for the past 10 years - 3 day infusions of 1000mg solumedrol. Never an episode of Optic Neuritis. Opthamologist said any increase in IO pressure during/after the steroids probably wouldn't have been sufficient to cause the damage I have....

Mary is absolutely correct when she comments that oral steroids are NOT recommended for the treatment of a relapse of Optic Neuritis. A long study, (about 15 years) called the Optic Neuritis Treatment Trial, found that use of oral steroids appeared to put the patient at risk for more episodes of ON. Neither IV steroids, oral steroids nor no treatment at all had any effect on the ultimate outcome - loss of vision, so the treatment is for symptomatic use only.

If the ON were occurring alone (without the numbness) with a negative MRI, your chances of developing MS within the next 15 years is about 25% according to the very large ONTT (Optic Neuritis treatment Trial) which has been going on for the last 20 or so years. It's results were just published. We just had a post on it: http://www.medhelp.org/posts/show/664930 The fact that you have other symptoms (the numbness) would affect this chance, I believe, but I do not know how much.

Solumedrol for optic neuritis

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