Reversible Bilateral Optic Neuritis with No Light Perception.

Lee, Soo Ho; Oh, Jung Hyub; Min, Jeong Sik

Original Article

Journal of the Korean Ophthalmological Society 1987;28(4):871-875.
Published online April 1, 1987.

Reversible Bilateral Optic Neuritis with No Light Perception.

¹Department of Ophthalmology, Seoul Adventist Hospital, Seoul, Korea.
²Department of Pediatrics, Seoul Adventist Hospital, Seoul, Korea.

광각이 없는 양안성 시신경염

이수호(Soo Ho Lee),오중협(Jung Hyub Oh),민정식(Jeong Sik Min)

Abstract

"Optic neuritis", described first by Nettleship in 1884, is the general term used to describe involvement of the optic nerve as the result of inflammation, demyelination, or infection. The majority or patients with optic neuritis are between the ages of 20 and 50 years, and the major symptom in most cases is sudden visual loss. It would appear that when optic neuritis occurs in childhood, it is more commonly bilateral and associated with disc swelling. In the majority of cases, the visual prognosis and eventual prognosis with regard to the development of multiple sclerosis is much better than in adult optic neuritis. The authors experienced a case of bilateral optic neuritis in a 14-year-old girl whose visual acuity progressed to no light perception with eventual visual recovery after treatment with steroid and mannitol. A brief review of literature is described.