Short Article
Umur Kayabasi
Abstract
The aim of this presentation is to discuss the diagnosis, treatment and follow- up of different optic neuropathies. Pictures of new technology devices such as OCT and conventional machines such as Perimetry. The main topic will also be MR images of the orbit and brain, and images of optic nerve problems. There are some new developments in the treatment of optic neuropathies and there will be sharing of different ideas about novel treatments. Neuropathes: optic neuritis (optic nerve demyelination): sudden, debilitating loss of vision. This occurs primarily in women aged between 18-45 years. Responds well to intravenous steroids at high doses. Approximately 1/3 of the cases of disc edema are seen, and 2/3 are retrobulber. Retrobulber cases move more often toward multiple sclerosis (MS). After acute optic neuritis, the probability of a woman patient developing MS is around 70 per cent in ten years. OCT can detect the development of optic neuritis to MS. Prior ischemical optic neuropathy (non-arteritic): severe, painless vision loss due to a stroke on the optic nerve head. There is Disc edema. In general, patients suffer from hypertension or diabetes. Base in visual environment is altitudinal. No definite treatment and Cup to disc ratio is small. Intravitreal injections (triamcinolone and anti-VEGF) may be tried in acute cases. Traumatic optic neuropathy: Occurs after a direct or indirect trauma to the optic nerve. Steroids are not recommended if there is head concussion.