Diagnostic and therapeutic doubts in retrobulbar neuritis in children.

Coll Antropol

University Department of Ophthalmology, Clinical Hospital, Systers of Mercy, Zagreb, Croatia.

Published: October 2005

Retrobulbar neuritis is often very complicated clinical entity. The most common cause of retrobulbar neuritis is demyelinating disease of CNS. This report is to express some other uncommon causes of it. Three children, age 8 to 12 with sudden and severe visual loss are presented. The diagnosis of retrobulbar neuritis is made by complete ophtalmological examination in consultation with neuropediatrics and neuroradiologist. Different ethiological causes of retrobulbar neuritis are found: pranasal sinusitis, functional visual loss and pseudotumor cerebri. In first two children complete therapeutically effort was as expected, and by child with pseudotumor cerebri there was no improvement of visual acuity, even after 6 months. In this presentation the authors want to emphasise some uncommon causes of retrobulbar neuritis.

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Article Synopsis
  • Optic neuritis (ON) is an acquired disorder of the optic nerve linked with demyelinating conditions and can present differently in children compared to adults.
  • The main concern for healthcare providers is the potential development of multiple sclerosis (MS) in patients with ON, which has led to a greater emphasis on distinguishing between MS and other demyelinating disorders like NMOSD and MOGAD.
  • The paper discusses a case of a child with severe MOGAD ON, detailing the clinical features, investigations, and treatment that resulted in complete visual recovery.
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