Optic Neuritis in Pediatric Patients

Abstract

Article Info Abstract Article history: Received 04 December 2020 Revised 24 December 2020 Accepted 01 January 2021 Available online 01 August 2021 Optic neuritis denotes an inflammation of the optic nerve characterized by loss of vision progressing over a few hours to a few days. Optic neuritis can be classified based on the site involved or its clinical features that is typical and atypical. In some cases, pediatric patients with optic neuritis have atypical symptoms and signs and no comprehensive medical history leading to a challenging diagnosis. In this case series, we report cases of optic neuritis in pediatric patients at different ages and clinical features treated with methylprednisolone 1 mg/kg body weight and respective management. With a poor initial vision at presentation, the patients recovered rapidly. The diagnosis of optic neuritis was based on anamnesis, ophthalmologic examination, and simple laboratory and physical examination. The administration of steroids at a dose of 1 mg/kg body weight followed by a taper of dose can improve vision loss.