Title: Clinical Profile of Optic Neuritis in Kashmiri Population

Authors: Arsalan Un Nisa, Afroz Khan, Parvez Ahmad Shah

 DOI: https://dx.doi.org/10.18535/jmscr/v6i10.224

Abstract

Introduction

Optic neuritis (ON) is an acute inflammatory disorder of the optic nerve. The disease is characterized by unilateral or bilateral sudden loss of vision, often accompanied by periocular pain. The majority of cases are idiopathic in origin. However, demyelination, specifically multiple sclerosis (MS), is reported to be the most common etiology in the Western literature.1,2 In India and other Asian countries the incidence of MS is reported to be low.3 Although the clinical syndrome of acute optic neuritis has been well recognized for many years, much information about optic neuritis was obtained from a multicenter study called ‘The Optic Neuritis Treatment Trial (ONTT)4. The investigators in ONTT enrolled patients with acute unilateral optic neuritis. Although the primary objective of the trial was the assessment of the efficacy of corticosteroids in the treatment of optic neuritis, the trial also provided invaluable information about the clinical profile and natural history of this disease. The aim of present study was to study the clinical profile and short term visual outcome of acute optic neuritis in kashmiri population.

References

  1. Ebers GC. Optic neuritis and multiple sclerosis. Arch Neurol1985;42:702-4.
  2. The Optic Neuritis Study Group. The clinical profile of optic neuritis. Experience of the Optic Neuritis Treatment Trial. Arch Ophthalmol 1991;109:1673-6.
  3. Singhal BS. Multiple sclerosis: Indian experience. Ann Acad Med Singapore 1985;14:32‑
  4. Optic Neuritis Study Group. The clinical profile of acute optic neuritis. Experience of the Optic Neuritis Treatment Trial. Arch Ophthalmol. 1991;109:1673–1678.
  5. Rodriquez M, Siva A, Cross SA, O’Brien PC, Kurland LT. Optic neuritis: A popul-ation‑based study in Olmsted County, Minnesota. Neurology 1995;45: 244‑
  6. Wang JC, Tow S, Aung T, Lim SA, Cullen JF. The presentation, aetiology, management and outcome of optic neuritis in an Asian population. Clin Experiment Ophthalmol 2001;29:312‑
  7. Jain IS, Munjal VP, Dhir SP, Gangwar DN. Profile of optic neuritis in Chandigarh and surrounding areas. Indian J Ophthalmol 1980;28:195‑
  8. Lim SA, Goh KY, Tow S, Fu E, Wong TY, Seah A, et al. Optic neuritis in Singapore. Singapore Med J 2008;49:667‑
  9. Pokroy R, Modi G, Saffer D.Optic neuritis in urban black African community. Eye (Lond) 2001;15:469‑
  10. Marshal D. Ocular manifestations of multiple sclerosis and relationship to retrobulbar neuritis. Trans Am OphthalmolSoc1950; 48:487-525.
  11. Hyllested K, Moller P. Follow-up on patients with history of optic neuritis. Acta Ophthalmol. 39:283-289, 1979.

Corresponding Author

Arsalan Un Nisa