Acupuncture treatment for optic neuritis

Written by Zhang Hui
Neurology
Updated on September 04, 2024
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Optic neuritis is generally caused by demyelinating diseases, which are commonly seen in neurology such as multiple sclerosis and neuromyelitis optica. These conditions affect the function of the optic nerve, leading to a noticeable decline in the patient's vision. In addition to the use of high doses of steroids during the acute phase of treatment, ophthalmology can also administer corticosteroids via retrobulbar injection for corresponding treatment, along with some immunomodulatory therapies. In the field of traditional Chinese medicine, acupuncture treatment is advocated for vision impairment caused by optic neuritis. Studies suggest that acupuncture can help improve vision recovery and is effective in improving the active vision of the eyeball. This treatment can generally continue from two weeks to about two months. Many patients report that acupuncture treatment tends to have a relatively good prognosis. Hence, apart from pharmacological treatments, acupuncture can be utilized as an adjunct therapy for optic neuritis.

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Written by Zhang Hui
Neurology
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What tests need to be done for optic neuritis?

Optic neuritis is usually caused by demyelinating diseases of the central nervous system, and generally requires the following examinations to be completed. First, it is necessary to complete an MRI scan of the optic nerve to assess if there is any abnormal swelling or abnormal signals in the optic nerve. Second, these patients also need to undergo brain MRI and spinal cord MRI scans, as optic neuritis patients may experience demyelination of brain white matter and the spinal cord. Third, it is important to complete examinations of serum and cerebrospinal fluid for aquaporin-4 antibodies. If this antibody is positive, it is of significant reference value for the diagnosis of neuromyelitis optica. Additionally, visual evoked potentials and examinations like OCT of the fundus are also necessary.

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Written by Liu Hong Mei
Neurology
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How long should optic neuritis hormone be used?

Optic neuritis hormone treatment generally lasts about two to three weeks. Prolonged use of hormones may lead to dependency. If symptoms gradually improve, the dosage of hormonal medications can be slowly reduced and eventually stopped. Long-term use may lead to side effects such as obesity, acne, and necrosis of the femoral head. Optic neuritis primarily involves demyelination of the optic nerve, causing changes in the optic nerve. It is important to exercise moderately, strengthen physical health, and enhance immunity in daily life. Eat fresh vegetables and fruits, and avoid spicy, stimulating, and hard-to-digest foods. Engage in outdoor aerobic activities, such as walking, jogging, swimming, and cycling.

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Written by Zhang Hui
Neurology
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Can optic neuritis be treated without hospitalization?

Patients with optic neuritis generally experience severe symptoms, as failing to receive appropriate treatment can lead to a significant and potentially irreversible decline in vision, resulting in disability. It is recommended that patients with optic neuritis be hospitalized for treatment. Hospitalization is necessary to carry out various supportive tests, including lumbar puncture lab tests and comprehensive MRI scans. Treatment of optic neuritis also involves administering high doses of corticosteroids based on the patient's condition. It is difficult for patients to manage such high doses of corticosteroids at home. Moreover, doctors need to closely monitor for any adverse reactions caused by these steroids. Therefore, hospitalization is advised for the treatment of optic neuritis, as the risks and prognosis are considerably worse without it.

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Written by Zhang Hui
Neurology
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Can optic neuritis patients run?

Patients with optic neuritis generally suffer from demyelinating diseases of the central nervous system. In addition to optic neuritis, it can also affect the spinal cord, causing inflammation of the spinal cord. The nature of this disease is caused by the disorder of the body’s immune function. During the acute phase of the disease, the body is relatively weak, and the immune function is disordered; it is suitable for rest in bed. It is not recommended to engage in high-intensity exercise like running, as it is not beneficial for the recovery of the disease; this stage should focus on rest. If optic neuritis has been treated with corticosteroids and other treatments and the clinical symptoms have alleviated, and the patient's physical function has significantly recovered, it is then advisable to engage in running to exercise the body and enhance physical fitness. Participating in these physical activities can improve the patient's immune function and may prevent another attack.

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Written by Zhang Hui
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Optic neuritis treated with steroids

Optic neuritis is a demyelinating disease of the central nervous system, primarily including optic neuritis caused by multiple sclerosis, as well as neuromyelitis optica and retrobulbar neuritis, among others. These diseases are caused by abnormal immune responses of the body and are closely related to immune dysfunction. Therefore, optic neuritis is mainly treated with corticosteroids. Corticosteroids can inhibit the body's immune response to achieve the purpose of alleviating the disease. However, the use of steroids should also pay attention to some related risks. For instance, there might be occurrences of osteoporosis and even osteonecrosis of the femoral head, potential disturbances in electrolyte, fat, and sugar metabolism in the body, the possibility of developing centripetal obesity, and the potential for gastric ulcers. Close monitoring is essential, and other immunosuppressants may be added if necessary. (Use of medications should be under the guidance of a doctor.)