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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Medication For Swollen Optic Nerves

My 10 year-old daughter has swollen optic nerves. She had clear results for her brain and optics MRI and negative for ANA. Her C-reactive protein test and other blood tests including TSH, HT1, 2, 3 and 4 are normal. The neuro opthalmologists here could not determine the cause. I am afraid that she might lose her vision. She was given oral steroids but her vision has not improved significantly.
Thu, 19 Feb 2015
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Pediatrician, Pulmonology 's  Response
Hi...by what you quote I feel that your daughter is having optic neuritis...considering the age and gender of the kid the most important diagnoses to be ruled out is autoimmune phenomenon which the doctors you are consulting have very well done already. Sometimes it can be idiopathic too...this means for which no cause can be ascertained. But the steroids will definitely help prevent complications. If her vision has not improved significantly, I suggest going ahead with a pulse dose of methylprednisolone and then followed by oral steroids. Sometimes it can take some weeks to recover the eye sight. So we need to wait and watch. I feel that the evaluation and management of the case is going in the right direction.
Regards - Dr. Sumanth
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Need Medication For Swollen Optic Nerves

Hi...by what you quote I feel that your daughter is having optic neuritis...considering the age and gender of the kid the most important diagnoses to be ruled out is autoimmune phenomenon which the doctors you are consulting have very well done already. Sometimes it can be idiopathic too...this means for which no cause can be ascertained. But the steroids will definitely help prevent complications. If her vision has not improved significantly, I suggest going ahead with a pulse dose of methylprednisolone and then followed by oral steroids. Sometimes it can take some weeks to recover the eye sight. So we need to wait and watch. I feel that the evaluation and management of the case is going in the right direction. Regards - Dr. Sumanth