Pediatric Optic Neuritis: An Update on Diagnosis and Management

Osama Al Deyabat1, Sarah Aman2, Tuan Anh Nguyen3

  • 1Department of Pediatrics, Division of Pediatric Ophthalmology, University of Illinois Campus of Medicine Peoria, 1 illini Dr street, Peoria, IL 61605, USA; Department of Special Surgery, Division of Ophthalmology, The Hashemite University, PO BOX 330127, Zarqa 13133, Jordan.

Neurologic Clinics
|April 1, 2026
PubMed

Insights

Pediatric optic neuritis (PON) is an inflammatory eye condition affecting children. This review details its diagnosis, treatment, and links to other demyelinating diseases.

Area of Science:

  • Ophthalmology
  • Neurology
  • Immunology

Background:

  • Pediatric optic neuritis (PON) is an inflammatory/demyelinating condition impacting vision in children.
  • PON presents distinct clinical, radiologic, and immunologic features compared to adult cases.

Purpose of the Study:

  • To provide a comprehensive review of pediatric optic neuritis.
  • To outline epidemiology, clinical presentation, diagnosis, and treatment strategies for PON.
  • To differentiate isolated PON from PON associated with other demyelinating diseases.

Main Methods:

  • Literature review of pediatric optic neuritis.
  • Analysis of clinical, radiologic, and immunologic profiles.
  • Comparison with adult optic neuritis cases.

Main Results:

  • PON has unique characteristics in children.
  • Key demyelinating diseases associated with PON include NMOSD, MOGAD, and MS.
  • Evidence-based treatment paradigms are evolving.

Conclusions:

  • Effective management of PON requires understanding its specific pediatric features.
  • Distinguishing PON subtypes is crucial for appropriate treatment.
  • Further research is needed to refine treatment and understand long-term outcomes.

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