Visual Outcome after Intravenous Methylprednisolone for Optic Neuritis
Journal Title: Nepal Journal of Neuroscience - Year 2007, Vol 4, Issue 1
Abstract
The purpose of this prospective study was to see the various clinical parameters of patients with optic neuritis in a teaching hospital in Kathmandu, Nepal and to determine the visual outcome in patients of optic neuritis after intravenous steroid. Twenty patients who presented to the Ophthalmology Department and Neurology Unit of Kathmandu Medical College Teaching Hospital from January 2004 - January 2007 made the basis of this study. The majority of the patients presented with papillitis (74.2%), and the majority (75%) was idiopathic in nature. There was a male predominance (65%). Visual acuity showed a dramatic improvement within the first week of intravenous steroid injection. Pre-treatment visual acuity in 69% was <3/60 – PL. After steroid treatment 20.7% had <6/12 - 6/18 vision with 37.9% having < 3/60 – PL vision on day 3 while 51.7% had < 6/12 - 6/18 vision on day 11 with 3.4% < 3/60 – PL vision. However, color vision, optic disc oedema, visual field, and afferent pupillary defect showed little improvement after steroid treatment during this early period
Authors and Affiliations
Rabindra Shrestha, MD
Keywords
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