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[Optic neuritis in children and adolescents]
B Koraszewska-Matuszewska1, E Samochowiec-Donocik, E Rynkiewicz
1Kliniki Okulistyki Dzieciecej I Katedry Okulistyki Slaskiej AM w Katowicach.
Klinika Oczna
|June 1, 1995
Summary
Pediatric optic nerve inflammation, often bilateral, occurred more in colder months. Causes varied by age, with recurrences in one-third of cases, impacting visual function recovery.
Area of Science:
- Ophthalmology
- Pediatric Neurology
Context:
- Optic nerve inflammation (optic neuritis) in children presents unique etiological and clinical challenges.
- Understanding disease patterns, causes, and treatment outcomes is crucial for pediatric eye care.
Purpose:
- To analyze the causes, clinical course, treatment outcomes, and recurrence rates of optic nerve inflammation in children.
- To differentiate disease characteristics based on patient age and inflammation location (intraocular vs. retrobulbar).
Summary:
- A retrospective study of 110 children (aged 2-18) revealed optic neuritis is common, often bilateral, and seasonal. Younger children (<14) typically had intraocular inflammation (viral/focal infection causes), while older children experienced retrobulbar inflammation (trauma/neurological disease causes). Recurrence affected one-third of patients.
- Treatment improved visual fields in over 50% and visual acuity in approximately 75% of cases. Full visual acuity recovery was achieved in 46-56% of eyes, with better outcomes when initial visual decrease was less severe. Post-inflammatory neuropathy was noted in 46% of eyes.
Impact:
- Findings highlight age-dependent differences in pediatric optic neuritis, informing diagnostic and therapeutic strategies.
- The study underscores the importance of early intervention and identifies factors influencing long-term visual prognosis in affected children.