A clinical case study on short term visual outcome of optic neuritis with IV Methyl prednisolone

Dr.C.Sreenivasulu; Dr. K. vidyasagar; Dr.D.Nischala Rama; Dr.U.Murali

Volume : VI, Issue : II, February - 2016

A clinical case study on short term visual outcome of optic neuritis with IV Methyl prednisolone

Dr. C. Sreenivasulu, Dr. K. Vidyasagar, Dr. D. Nischala Rama, Dr. U. Murali

Abstract :

This study conducted over 3 years (2013 to 2015) of time, in neurology department, in government general hospital , Kurnool.30 patients were studied to evaluate the clinical profile and response to treatment with IV Methylprednisolone in patients of optic neuritis.patients were examined and investigated and treated with IV methylprednisolone for period of 5 days and status of vision assessed after 6 to 8 weeks. Among the 30 patients males were 13(43.3%) and females were 17(56.6%) in the age group of 12 to 65 years, complete visual loss is seen in 4 (13.3%) and partial visual loss is seen in 26(86.6%),unilateral involvement is seen in 18 (60%) and bilateral involvement is seen in 12 (40%) and fundus was normal in 19 (63.3%) ,hyperemia of optic nerve head and other changes were seen in 11 (36.7%). Prolonged p100 was the most commonly found abnormality on VEP which was seen in 19(65.5%) and absent wave was found in 10(34.4%).MRI was done in 13 patients out of which 8(61.5%) patients had normal MRI and 5 (38.4%) had abnormal findings. This study concluded that a Significant visual improvement is seen in 16(53.3%) and minimal improvement is seen in 14(46.7%) patients receiving IV Methylprednisolone consecutively for 5 days at 4 to 6 weeks. 