optic pain no answers?

[renee80]

Dear Dr.

I have done everything i can and still have no answers

30yr female with pain behind left eye daily, pain increases with movements of eye

you would think what i have always thought optic neuritis , but can't seem to get a dx of that, even from some of the best optic neuro's in the biz...

strangely i have over the last 18 months gone from being told i had 20/20 in left eye to being told i had an assytigmatsim and the script for the left changed 3 times, ( increasing ) over the year, ( i do not wear glasses )

i have never heard of a asstigmatism causing pain behind eye and only causing pain upon lots of eye movement

something doesn't make sense what sense could it be or are then missing the ON?

( I have had mri's as well, they don't see and spots on optical nerve itself)

[John C Hagan III, MD, FACS, FAAO]

No that is reduced vision in a hot environment and pain is not a component of Uthoff's symptom.

JCH MD

[renee80]

Thanks for your thoughts  But couldn't I be experiencing    
"Uhthoff's symptom", ( the worseing of systems after an episode of ON )?

[John C Hagan III, MD, FACS, FAAO]

Astigmatism does not cause pain. It's not likely that you have optic neuritis which does not cause pain for months and months at a time. A possible diagnosis would be orbital inflammatory diease.  

If you have alread been to several neuroophthalmologists then see an oculoplastic surgeon. Find one near you at www.aao.org

JCH MD