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What Is Optic Neuritis?

Optic neuritis refers to inflammation of the optic nerve, which is the nerve that transmits visual information from the eye to the brain. This inflammation can cause damage to the nerve fibres and may result in vision problems.

Optic Neuritis Symptoms

Optic neuritis typically presents with the following symptoms:

Vision Loss: This usually occurs suddenly over a few hours or days, and it often affects only one eye. The degree of vision loss can range from mild to severe.

Eye Pain: This is common with optic neuritis. The pain often worsens with eye movement and can feel like a dull ache in or around the eye.

Colour Vision Changes: Colours may seem less vivid than usual, or there may be a bias towards seeing certain colours. This is often described as colours appearing "washed out."

Flashing lights: Some people with optic neuritis may see flashing or flickering lights.

Visual Field Defects: There may be areas of the visual field where vision is decreased. This can be a central area (central scotoma) or other parts of the visual field.

Reduced Contrast Sensitivity: Difficulty seeing in low contrast situations, such as at dusk or in fog, can be one of the symptoms of optic neuritis.

It's important to note that symptoms can vary among individuals, and not everyone will experience all these symptoms. If optic neuritis is suspected, it's important to seek medical attention promptly. 

An eye doctor can perform a thorough evaluation, which may include an eye examination, imaging studies like an MRI, and potentially other tests to confirm an optic neuritis diagnosis and identify any underlying causes.


Looking For Optic Neuritis Treatment?

Optic Neuritis NHS Vs Private Optic Neuritis Treatment

Optic neuritis treatment largely involves alleviating symptoms and addressing the root cause, typically with anti-inflammatory medications like corticosteroids.


In cases related to multiple sclerosis, disease-modifying therapies may also be used. While the principles of treatment are similar across the board, private healthcare can offer several distinct advantages:

Prompt Attention: With private eye care, you often benefit from expedited scheduling for consultations, tests, and treatment, ensuring you receive care quickly and at a time that's convenient for you. Urgent cases are always prioritised, but even non-emergencies tend to be handled more swiftly in a private setting.

Choice of Specialist: Private eye care offers the significant benefit of choice. You have the liberty to select the specialist you'd like to consult with based on their expertise or your personal comfort, something that isn't always possible in the NHS system where a specialist is assigned to you.

Comfort and Personalised Service: In a private healthcare environment, you can expect enhanced comfort and patient service, including more private space. The patient experience is designed to be as stress-free and comfortable as possible, to aid in your recovery.

Investment in Your Health: While private eye care comes at a cost, many see it as an investment in their health, offering them greater control, choice, and convenience. It's crucial to consider the value of timely, personalised care tailored to your specific needs.

While both optic neuritis treatment NHS and private care providers such as iSIGHT Clinics strive to provide high-quality treatment, choosing private healthcare could offer you an elevated level of service, comfort, and flexibility. 

You deserve the best in healthcare, and private optic neuritis treatment could be the ideal route to promptly addressing your health concerns with the specialist of your choice in a comfortable setting.

Optic Neuritis Causes

Optic neuritis can be caused by several factors:

Multiple Sclerosis (MS): Optic neuritis is often the first sign of MS, a condition in which the immune system mistakenly attacks the protective sheath (myelin) around the nerves in the central nervous system.


Neuromyelitis Optica (NMO): This is a condition like MS in which the immune system mistakenly attacks healthy cells in the central nervous system. However, NMO tends to primarily affect the optic nerves and spinal cord.


Infections: Certain bacterial and viral infections can cause optic neuritis. These include, among others, Lyme disease, syphilis, cat-scratch fever, and viral infections such as mumps, measles, or herpes.


Immune Diseases: Other immune diseases, such as sarcoidosis or systemic lupus erythematosus, can also cause optic neuritis.


Drugs and Toxins: Some drugs, including some antibiotics and anti-tuberculosis medications, have been associated with optic neuritis.


Post-Vaccination: There have been rare cases of optic neuritis occurring after certain vaccinations, though this is not common.

In some cases, the cause of optic neuritis may not be determined. This is referred to as 'idiopathic optic neuritis'. If you have any concerns or symptoms related to optic neuritis, it's important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment.

Optic Neuritis Treatment

Optic neuritis treatment usually involves addressing both the symptoms and the underlying cause of the inflammation. Here's a general breakdown of how optic neuritis is typically treated:

Corticosteroids: High-dose intravenous (IV) corticosteroids such as methylprednisolone are commonly used initially to reduce inflammation and hasten recovery. This is often followed by a course of oral corticosteroids. Corticosteroids can help improve vision more quickly, though the overall degree of recovery after several months is usually the same with or without them.

Plasma Exchange Therapy: In some severe cases where steroids are not effective, plasma exchange (also known as plasmapheresis) may be used. This involves removing some of the patient's blood, separating the plasma (which contains the antibodies causing inflammation), and then returning the blood cells to the body with fresh plasma or a plasma substitute.

Disease-Modifying Therapies (DMTs): If the optic neuritis is associated with a condition like multiple sclerosis (MS), DMTs may be used. These treatments aim to modulate or suppress the immune system's response, thereby reducing the frequency and severity of MS symptoms and delaying the progression of the disease.

Symptomatic Treatment: Pain in the eye is usually temporary and can be managed with over-the-counter pain relievers. If vision loss impacts daily activities, low-vision aids, like magnifiers or specific glasses, may be useful.

Monitoring: Regular follow-ups are important for tracking progress, managing any side effects from the treatment, and adjusting the treatment plan as necessary.

Please note that treatment plans are individualised, based on the patient's specific symptoms and overall health condition. Always consult with a healthcare provider for accurate information and treatment options for your specific case.

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