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E. M. Damato, S. Banerjee; Management and Prognosis of Patients Presenting to Bristol Eye Hospital Casualty With Optic Neuritis Over a One Year Period. Invest. Ophthalmol. Vis. Sci. 2009;50(13):303.
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To review the management and follow-up of patients presenting to our eye casualty with optic neuritis and to assess visual outcome.
Case note review.
44 patients between the ages of 18 and 40 were diagnosed with optic neuritis in eye casualty in 2007. None showed atypical features. Visual acuity at presentation was 20/40 or worse in 23 patients, 20/100 or worse in 13 patients and 20/200 or worse in 5 patients. 26 patients had their diagnosis confirmed on further review. Of these, 23 had visual recovery to 20/30 or better at 3 months. Of the remaining 3 patients 1 had macular pathology and 2 had had previous optic neuritis. 8 patients were lost to follow-up and 10 patients were assigned alternative diagnoses at follow-up. One patient received treatment with steroids due to a concern about progressive visual loss.
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