Optic nerve inflammation in multiple sclerosis

General

In the Multiple sclerosis is it a chronic diseasewhich is inflammation of the Insulating layer (Myelin sheaths) of the nerves in the central nervous system represents.
The inflammation of this insulating layer can cause a Set of symptoms cause.

A common early symptom of the disease is Inflammation of the optic nerve. A Optic nerve inflammation usually goes with Visual disturbances which should be examined by a doctor. So can visual disturbances at the beginning of a so-called Nudge in the context of multiple sclerosis, which can be treated after diagnosis.

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root cause

A multiple sclerosis is about inflammation of the insulating layer of the nerves in the central nervous system Are defined. Since the Optic nerve also belongs to the central nervous system, this nerve is also often affected. Because the nerve for seeing extremely relevant is will inflammation of the Medullary sheaths noticed this nerve particularly quickly.

Optic nerve inflammation in the episode

A multiple sclerosis can in different course forms occur. The most common, especially at the beginning of the disease, is the thrust-shaped Course. In very many patients this is Optic nerve inflammation an early sign of a flare-up of multiple sclerosis. For this reason, if you have multiple sclerosis, acute optic nerve inflammation should be considered the Beginning of a push be evaluated and treated.

Symptoms

Optic nerve inflammation, which occurs as part of multiple sclerosis, is usually associated with typical symptoms. If multiple sclerosis has not yet been determined, visual disturbances associated with the typical symptoms should be examined.

Read more on the topic: Optic nerve inflammation symptoms

Visual disturbances are typical of optic nerve inflammation. Especially suddenly blurred vision, a restricted field of vision or a restricted ability to perceive colors are typical of optic nerve inflammation.
Pain when moving the eyes can also indicate that optic nerve inflammation is present. Furthermore, those affected with optic nerve inflammation often report pronounced sensitivity to light.

It should be noted that not all symptoms have to appear with optic nerve inflammation. The inflammation can cause symptoms of varying severity and severity, depending on the degree of progression.

You might also be interested in: These symptoms will help you recognize inflammation of the nerves

diagnosis

The diagnosis of Optic nerve inflammation can be done in different ways.

If the anterior nerve the ophthalmologist can use an ophthalmoscope to detect the inflammation.
In the case of inflammations that cannot be seen with the ophthalmoscope, a MRI examination the foci of inflammation as well as the attacked Medullary sheaths of the nerves are usually well represented.

therapy

An acute one Optic nerve inflammation is part of a multiple sclerosis always as that Beginning of a push viewed.

For this reason, optic nerve inflammation is treated like a flare-up in people with known multiple sclerosis.
In the foreground the Relapse therapy have multiple sclerosis high-dose cortisone infusionswhich in most cases can improve the inflammation of the optic nerve. However, it should be noted that the Progression multiple sclerosis due to cortisone therapy not prevented can be.

New studies could provide evidence that the therapy with Erythropoietin (EPO) could possibly prevent or slow down the death of the optic nerve in the context of optic nerve inflammation. Further studies should prove the effectiveness of the therapy, which has not been carried out as a standard so far.

What to do?

At a Optic nerve inflammation or the Perception of typical symptoms, which are characteristic of the inflammation of the optic nerve, should generally be a doctor to be visited.

If one is known to exist multiple sclerosis the inflammation is called Beginning of a push rated and therefore with cortisone treated.

However, since the symptoms of optic nerve inflammation also affect other diseases of the Eye suggested, one is recommended in any case ophthalmological clarification of complaints.

forecast

The Optic nerve inflammation, which is part of a multiple sclerosis arises, usually heals when the relapse therapy hits.

After a time of 1-2 weeks the inflammation has usually subsided and the symptoms should also go away during this time. After the inflammation has subsided, over 90% of those affected achieve visual acuity of 0.5 again, while over 70% of those with optic nerve inflammation achieve a visual acuity of 1.0.

course

The course of a Optic nerve inflammation which as part of a multiple sclerosis occurs can be very different. The course and duration are largely dependent on whether the inflammation is on the therapy appeals.

Acute optic nerve inflammation often heralds a flare-up in multiple sclerosis, which often occurs after a appropriate relapse therapy passes again. However, it is entirely possible that the inflammation will recur over the course of a new flare-up.

The inflammation can persist for a long time and be so severe that a Blindness threatens.

Blindness

In the multiple sclerosis is it a chronic disease.
The individual course can very different and is difficult to estimate.

When the inflammation of the insulating layer of nerves in the central nervous system progresses and a Optic nerve inflammation evokes is one Blindness possible. In this case the nerve is so inflamed that important cells perish and vision is very limited or completely impossible.

When and if blindness in the individual case cannot be predicted.

Duration

Inflammation of the Optic nerve can develop very quickly and individually a very different course exhibit. A prediction of how long the inflammation of the optic nerve will persist cannot be given.

If the Optic nerve inflammation as part of a push of the multiple sclerosis occurs, treatment with a Cortisone therapy improve the inflammation.

An improvement in the symptoms and thus also the inflammation is after about 1-2 weeks common. Should the symptoms longer than 2 months persist, symptoms are unlikely to improve.
In this case it is nerve so badly damaged that improvement cannot be achieved.

prophylaxis

So far it is not possible to make a recommendation for a prophylaxis Optic nerve inflammation at multiple sclerosis submit.

Predicting the thrust times and strength is just as impossible as discussing the triggers that are responsible for the thrust.
It is possible that in the future new therapies such as treatment with EPO prevent progression of optic nerve inflammation in multiple sclerosis at least partially.

risk

The risk in the course of a multiple sclerosis at a Optic nerve inflammation to suffer is relatively high.

So suffer about 20% of the sick in the course of the disease from an inflammation of the optic nerve.
If there is a lot of inflammation of the optic nerve for a long time, the risk of going blind in the course of the disease is increased.