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Optic neuritis is just the rubor of the optic face . It can be cause due to a diversity of reasons and all of them will lead to optical neuritis which means many of the diseases can mimic as optic neuritis apart from autoimmune optic neuritis . Various retinopathy and retinal diseases like respectable disease , Stargardt ’s disease , etc . can mimic the symptom of optic neuritis .
What Can Mimic Optic Neuritis?
Ischemic optic neuropathy , compressive neuropathy , toxic neuropathy resulting due to toxin , etc . are few of the other cause which are responsible for similar symptom as that of optical neuritis . Few of the other conditions like paraneoplastic syndrome where the symptoms are not due to underlying pathology but due to some other process going on in the body(1 ) .
Infectious causes can also generate like condition like that of opthalmic neuritis . One of the most coarse infective cause is cat simoleons disease make by Bartonella henselae belong to Bartonella group of bacteria . It produces the symptoms of neuroretinitis and present as macular star appearance on retina scrutiny . Other autoimmune disorder can also generate similar symptoms apart from multiple sclerosis and neuromyelitis optica . CRION ( Chronic relapsing incitive optical neuropathy ) is a very rare syndrome associated with ocular neuritis(2 ) . Few patrimonial diseases like Leber transmissible optic neuropathy ( LHON ) is one of the rarest causes which are hereditary and can mimic the symptoms of optic neuritis to a slap-up extent(3 ) .
Optic neuritis does not produce clinical symptom straightaway but there is a flow of pathologic progression of the disease without clinical symptoms in which only the inflammation widen . When the ocular neuritis becomes plain and starts produce symptoms related to ocular acuity then it becomes very unmanageable to see the object in the field of honor of visual sensation . Once the ocular sharpness is affected , it signify the progression of the pathology of the optical cheek has reached to a large extent . Progression of the condition can be give up and even reversed by the utilization of steroids which can be used in both oral and endovenous forms .
Sometimes the precondition of opthalmic neuritis responds well to the handling and visual sharp-sightedness is restored . In that condition , it is a anterior requirement to get the visual acuteness tested beforehand driving any vehicle . If the MD is convinced that the visual acuity is right and there is nophotophobiaor brilliance which can stymie the drive , only then it should be done . Otherwise , it is respectable to desist from drive until the condition regresses altogether or there is no relapse .
Can I Drive If I Have Optic Neuritis?
But in many case , it is impossible to reverse the ocular acuity loss and it would not be a prudent decision to push back any fomite with cut down visual sharpness or without any corrective glasses or other method . iterate ocular acuity testing must be done during optic neuritis to measure the loss again and again and modify the discipline consequently .
Conclusion
optical neuritis is an autoimmune stipulation can be trigger by a variety of reasons but most of them are multiple sclerosis and neuromyelitis optica . Since the condition is link up with ignition of the optical nerve , it can result from grounds other than autoimmune like infectious , paraneoplastic , inherited , etc . Mimicking diseases that present with standardized symptoms as that of visual neuritis create a lot of confusedness and can result in misdiagnosis sometimes .
ocular neuritis also result in the decrement of ocular acuity of the patient and patient may need glassful or laser surgeries sometimes to get it corrected . If the visual visual acuity is not corrected then the patient should not ram and regress from doing other deeds also which require careful visual image . ocular acuity should be tested and certified by a recognized Dr. before the driving is done by the patient .
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