CHARACTERISTIC AND MANAGEMENT OF OPTIC NEURITIS AT NATIONAL EYE CENTER, CICENDO EYE HOSPITAL FROM AUGUST 2009-AUGUST 2011
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Date
2012-08-07
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Abstract
Optic neuritis is an
inflammation of optic nerve . The loss of vision is the major symptom
reported in more than 90% of patients
who have acute optic neuritis. The optic neuritis can be divided into typical
and atypical. The optic neuritis is resulting from an idiopathic, inflammatory,
infectious or demyelinating etiology.
The purpose
of the study was to determine prevalence of optic neuritis, define the
characteristic and the management of optic neuritis patients in Ophthalmology
Unit, National Eye Center, Cicendo Eye
Hospital from year August 2009 – August 2011.The study is using rerospective descriptive method by evaluating the
data from the medical records in which the patients were diagosed with optic
neuritis.
The
numbers of patients on August 2009 – August 2011 were 65 patients. Female patients are more common than
male, they were 37 (56,92%) patients. Male patients were 28 (43,08%) cases. The
onset of symptoms in 39 (60,00%) patients were within 0-7 days. There were 39 (60,00%) patients presented with
initial visual acuity were 53 (81,54%) patients with
visual field defect. The majority of the patients, 32 (49,23%), were having central scotoma. The optic disc
appearance of 65 patients showed majority of
32 (49,23%) patients were having retrobulbar neuritis. The loss of
contrast sensitivity were found in 34
(52,31%) patients.
All the patients were treated with
corticosteroids Methyprednisolone for 3 days and followed by Oral prednisone
for 11 days. Visual acuity outcome on 1 week
of follow up 17(26,15%) patients have
been improved to 6/6 – 6/18. The majority of patients, 26 (40,00%), improved to
6/18 - >3/60 .
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