OPTIC NEURITIS

Question 1

Clinical Features

Answer 1

Over days
Painless
BUT
Can be painfull with eye movement
Visual Acuity Reduction
+/- Peripheral Visual Field reduction
Color vision deficit
Relative Afferent Pupillary Defect
Papilledema (swollen, edematous optic disk)

Question 2

Describe the Specific Physical Exam Maneuver

Answer 2

Red Desaturation:
Look with one eye at a dark red object
Affected eye will see the red object as pink or light red
Compare to other side

Question 3

Risk Factors

Answer 3

Idiopathic
Multiple Sclerosis
Viral Illnesses
Post childhood vaccination
Syphilis
Tuberculosis
Cryptococcus
Sarcoidosis

Question 4

Management

Answer 4

Consult neurology and ophthalmology