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Wydanie 2/2010
str. 64

Zapalenie nerwu wzrokowego – aktualny stan wiedzy

Optic Neuritis – Current Stage of Knowledge

Wojciech Lubiński, Wojciech Gosławski

Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. n .med. Danuta Karczewicz

Summary: Purpose:On the basis of the literature and own experience to show current knowledge concerning with causes, diagnosis and treatment possibilities of optic neuritis.
Conclusion: Acute demyelinating optic neuritis (ON) is the initial presentation in approximately 20% of cases of multiple sclerosis. Visual function improves spontaneously over weeks and within one year 93% have recovered to a visual acuity of at least 0.5. Treatment with high – dose corticosteroids may accelerate visual recovery, but has little impact on long-term visual outcome. The 10-year risk of developing multiple sclerosis in the ON patients and no white matter lesions in magnetic resonance image was 22% but 56% with one or more lesions. Visual evoked potentials are usually delayed in optic nerve demyelination and are very useful in identifying occult optic nerve dysfunction.

Słowa kluczowe: zapalenie nerwu wzrokowego, diagnostyka, różnicowanie, leczenie.

Keywords: optic neuritis, diagnosis, differential diagnosis, treatment.

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