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Updated: Jan 3, 2026

Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients
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Idiopathic Bilateral Optic Neuritis.

P Singh1, S Karmacharya1, A Rizyal1

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|November 18, 2019
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Summary
This summary is machine-generated.

Idiopathic bilateral optic neuritis is rare in adults. Prompt treatment using the Optic Neuritis Treatment Trial (ONTT) protocol significantly improved visual outcomes in a young adult female patient.

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology

Background:

  • Idiopathic bilateral optic neuritis is an uncommon condition in adults.
  • Optic neuritis involves inflammation of the optic nerve, potentially leading to vision loss.

Observation:

  • A 19-year-old female presented with decreased visual acuity, painful eye movements, and sluggish pupillary response.
  • Clinical examination revealed optic disc swelling, a relative afferent pupillary defect (RAPD), and central visual field defects.
  • Magnetic Resonance Imaging (MRI) demonstrated diffuse thickening and irregular outlining of both optic nerves.

Findings:

  • The case presented as idiopathic bilateral optic neuritis, a rare manifestation in adults.
  • Diagnostic findings included characteristic visual acuity reduction, ocular motility pain, pupillary abnormalities, and visual field deficits.
  • MRI confirmed optic nerve inflammation and structural changes.

Implications:

  • This case highlights the importance of recognizing rare presentations of optic neuritis in young adults.
  • Early diagnosis and treatment, guided by established protocols like the Optic Neuritis Treatment Trial (ONTT), are crucial for favorable visual recovery.
  • Further research into the specific etiology and long-term outcomes of idiopathic bilateral optic neuritis is warranted.