Neurológia pre prax 4/2020

Diagnostic options in retrobullar neuritis

Acute optic neuritis is the most common optic neuropathy. In its typical form, optic neuritis presents as an inflammatory demyelinating disorder of the optic nerve affecting majority of patients with multiple sclerosis (MS). Atypical forms of optic neuritis may occur, either in association with other inflammatory disorders or in isolation. Differentiation from other optic neuropathies is vital for treatment choice and further patient management to prevent visual loss. Diagnostic investigations include MRI, visual evoked potentials, and CSF examination. Over the past decade, a number of new imaging, laboratory and electrophysiological techniques have entered the clinical arena.

Keywords: optic neuritis, optical coherence tomography, multiple sclerosis, magnetic resonace imaging