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Neurology  (Expert Forum)
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MS - Optic Neuritis
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MS - Optic Neuritis

by heidi, Feb 10, 2000 12:00AM
I am 33 yrs old and am just finishing with a bout of ON(I'm in week 7) I was treated with intravenous steriods and then the tapering oral dose.  I had an MRI which was normal and I am in very good health - I am wondering what statistically are the chances that my ON could be the onset of MS?

by CCF Neuro[P] MD, RPS, Feb 10, 2000 12:00AM
Dear Heidi:



Sorry to hear about your optic neuritis.  Although optic neuritis is the most common presenting sign of someone who later develops MS, only 20 - 35% or so of patients who have MS have had optic neuritis.  Those patients who develop optic neuritis, the average is approximately 50% who go on to develop MS.  However, in some small studies it has been reported to be less than 20%.  But, unfortunately I think the 50% is likely alittle closer to reality.  So, your chances are maybe in the 40-50% range.  I truely hope that there is not MS in your future.



Sincerely,



CCF Neuro MD
Member Comments (5)

by heidi, Feb 10, 2000 12:00AM
Thank you very much for your quick response and healthy wishes. - Heidi

by heidi, Feb 10, 2000 12:00AM
Thank you very much for your quick response and healthy wishes. - Heidi

by Gina, Feb 11, 2000 12:00AM
I am 35 years old. Last year i had a sudden loss of vision in right eye with pain. after having an MRI (which was normal) i went for a second opinion. I was diagnosed with an early cataract and was told this was why i had loss of vision (vision went from 20/20 to 20/50 overnight). I also was having numbness & tingling in hands, neck, legs etc. and loss of balance. I was told my vision would be back to normal after cataract surgery. 3 months later my vision was 20/80 so i had surgery for cataracts. I still have severe pain and my vision did not improve (although before surgery i couldn't see at a distance, but since they implanted a new lense, i can not see close up now, it seems the surgery only reversed the way i see distances). I have been feeling extremly fatigued and dizzy and my legs feel like they fall asleep, with alot of tingling. i was wondering if Optic Neuritis could have been mistaken as an early cataract? and if i should seek another opinion.

by CCF Neuro[P] MD, RPS, Feb 11, 2000 12:00AM
Dear Gina:



No, a cataract is an opaque small area in your lens, while optic neuritis is inflammation of your optic nerve.  Most patients do not have pain with cataracts.  I am not sure what to tell you.



Sincerely,



CCF Neuro MD
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