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Traumatic optic neuropathy

A 26 year old man presented to the emergency with decreased vision in his right eye. He had a history of fall from the staircase and he had bumped his head onto the edge of the stone stairs about 12 hours back. The optic nerves appeared normal but the right eye pupil was showing a relative afferent pupillary defect. Vision in right eye was 3/60 and left eye 6/6. A diagnosis of traumatic optic neuropathy was made and intravenous steroids were given. In a few weeks, patient developed slight yellowness(pallor) in the right optic nerve though vision improved to 6/9. A visual field test showed a defect in 1 quadrant of the right eye field. .

Before Treatment: Both optic nerves appear normal.   After Treatment: The right optic nerve appears slightly pale and the right eye field shows a quadrantic defect. Overall vision improved from 3/60 to 6/9 due to timely intervention.

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Ischemic optic neuropathy

A 72 year old man presented with vision loss in right eye followed by vision loss in left eye after 2 days. He could only decipher hand movements in both the eyes. There was headache and pain in the jaw on chewing food. He was not having diabetes or hypertension. The optic nerves appeared swollen and pale. A diagnosis of Arteritic ischemic optic neuropathy was made and immediate high dose steroid treatment was given. The patient recovered 6/24 vision after few days as timely intervention was done.

Before Treatment: The optic nerves appear pale and swollen.   After Treatment: The swelling in optic nerves has reduced but they are still pale.

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Optic Neuritis

A 30 year old woman presented to the OPD with decreased vision in her left eye since 1 week. The optic nerve of the left eye appeared to have blurred margins and left eye pupil was showing a relative afferent pupillary defect. Vision in right eye was 6/6 and left eye 6/60. A diagnosis of left optic neuritis was made and intravenous steroids were given. In 2 weeks, patient developed full recovery of vision and the disc margins were sharply defined. Timely intervention assured quick recovery of vision.

Dr. Digvijay Singh Treats Optic Neuropathy due to Chikungunya Fever

Chikungunya Fever is known to affect the eyes in various ways. One of the common eye related problems in Chikungunya is optic neuritis and optic neuropathy.