Why does optic neuritis keep recurring?

Written by Zhang Hui
Neurology
Updated on September 08, 2024
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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 diagnosed?

Optic neuritis is classified as an ophthalmological or neurological disorder, caused by demyelination of the central nervous system. Diagnosis of this condition is crucial, and the following tests are recommended: Firstly, visual evoked potentials should be performed. This test can clearly show the corresponding lesions in the optic nerve. Secondly, magnetic resonance imaging (MRI) of the optic nerve is needed. MRI can reveal changes in the optic nerve, such as thickening and edema. Thirdly, some blood tests related to bleeding should be conducted. Specifically, testing for aquaporin-4 antibodies to determine if it is neuromyelitis optica. Additionally, a lumbar puncture is also necessary. This primarily aims to check for demyelination markers, such as oligoclonal bands. Once optic neuritis is diagnosed, timely treatment is required, mainly using corticosteroids or intravenous immunoglobulin.

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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
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What vitamins to take for optic neuritis

Optic neuritis is primarily caused by the demyelination of the optic nerve. It is a type of central nervous system demyelinating disease. Therefore, patients with optic neuritis can take some vitamins, mainly B vitamins, including vitamin B12, vitamin B6, vitamin B1, etc. These can nourish the nerves and promote the regeneration of the myelin sheath. In addition, patients with optic neuritis also need to use some corticosteroids. Corticosteroids mainly suppress the immune response and inhibit the body's antibodies from damaging the myelin sheath of the optic nerve, playing a very important role in foundational treatment. Additionally, some severe cases of optic neuritis may even require the use of immunoglobulin and other immunosuppressive agents are also used in patients with optic neuritis.

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Written by Zhang Hui
Neurology
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Foods to avoid with optic neuritis

Optic neuritis usually causes a decline in the patient's vision, with noticeable decrease in either unilateral or bilateral vision. Commonly seen in clinical practice are simple optic neuritis, as well as optic neuritis caused by multiple sclerosis, and optic nerve pathology caused by neuromyelitis optica. Essentially, optic neuritis is an autoimmune disease, primarily caused by the demyelination of the optic nerve. In terms of diet, there are certain foods to avoid. First, spicy and stimulating foods. These types of food can disrupt the body's immune function, causing vascular nerve congestion, which is detrimental to the recovery of optic neuritis. Second, overly greasy foods. Foods that are too greasy can also affect the blood supply to the nerves, prolonging the recovery time of optic neuritis.

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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.