causes
Ms
DM
Syphillis
features
unilateral decrease in visual acuity over hours or days
poor discrimination of colours, ‘red desaturation’
pain worse on eye movement
relative afferent pupillary defect
central scotoma
Ix
MRI brain and orbits with gadolinium contrast
Mx
high dose steroids
recovery time
4-6 weeks
prognosis
MRI: if > 3 white-matter lesions, 5-year risk of developing multiple sclerosis is c. 50%