How many days does optic neuritis require hospitalization?

Written by Zhang Hui
Neurology
Updated on September 12, 2024
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Patients with optic neuritis generally experience a decrease in vision, which may occur in one eye or in both if both optic nerves are involved. This condition is often caused by non-specific inflammatory responses that lead to the demyelination of the optic nerve, such as in multiple sclerosis and neuromyelitis optica, leading to changes in optic neuritis. This condition is quite severe and requires hospitalization. If not treated promptly, it can cause permanent vision loss, severely affecting the patient's future life. Typically, hospitalization lasts about 10-14 days. During this period, comprehensive examinations including MRI and lumbar puncture are needed, along with high-dose corticosteroid treatment lasting 10-14 days. After discharge, the patient must continue taking oral medications and undergo rehabilitation training.

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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 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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Why does optic neuritis keep recurring?

The recurrence rate of optic neuritis is quite high because this disease is a type of demyelinating disease of the central nervous system, caused by an immune dysfunction in the body. This immune dysfunction produces abnormal antibodies which attack the optic nerve, as well as the brain and spinal cord, leading to a variety of clinical manifestations. Therefore, as long as the patient's immune function is disordered and not corrected, recurrence is very likely to occur. To prevent the recurrence of optic neuritis, the main aspects include: First, regular physical exercise should be done to enhance physical fitness. Second, it is crucial to follow the doctor's advice and take corticosteroids or other immunosuppressants for a long time, which can help suppress the immune dysfunction. Third, dietary habits should also be carefully managed, with an increased intake of fresh vegetables and fruits and avoiding spicy and stimulating foods.

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Written by Zhang Hui
Neurology
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How is optic neuritis treated?

Optic neuritis is generally caused by demyelinating diseases of the central nervous system, such as multiple sclerosis, neuromyelitis optica, and retrobulbar neuritis, all of which can lead to the onset. The main symptoms include a decline in vision, which can affect one eye or both eyes. The treatment of optic neuritis primarily includes: First, the use of corticosteroids, which can alleviate the inflammatory response in the body and help in the recovery of optic nerve functions, is widely applied. Corticosteroids can be used systemically, and if necessary, administered retrobulbarly. Second, the intake of other immunosuppressants and immunoregulatory treatments, mainly during the remission phase, is to prevent relapse. Third, treatment can also involve the use of intravenous immunoglobulin, although it is relatively expensive. Additionally, it is necessary to take some B vitamins for related treatment.

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Written by Zhang Hui
Neurology
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Can optic neuritis recover by itself?

Optic neuritis is a demyelinating disease of the central nervous system, caused by an immune-inflammatory response of the body. Most patients with optic neuritis have severe immune dysfunction, making full recovery on their own very difficult. Although a very small number are fortunate enough to potentially self-heal without specific treatment, such cases are rare. Treatment for optic neuritis is essential because if left untreated, it could likely lead to permanent vision reduction. Additionally, the disease may also affect the brain and spinal cord, leading to clinical manifestations such as paralysis of limbs. Therefore, it is advisable to actively treat this condition. The primary treatment involves administration of corticosteroids and possibly long-term oral intake of immunomodulators to prevent recurrence. (Medications should be used under the guidance of a doctor based on specific conditions.)