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Optic neuritis - Wikipedia

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class="vector-toc-text"> <span class="vector-toc-numb">1.2.1</span> <span>Early symptoms</span> </div> </a> <ul id="toc-Early_symptoms-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Variation_in_symptoms_with_age" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Variation_in_symptoms_with_age"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.2.2</span> <span>Variation in symptoms with age</span> </div> </a> <ul id="toc-Variation_in_symptoms_with_age-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Observation" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Observation"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.3</span> <span>Observation</span> </div> </a> <ul id="toc-Observation-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Imaging" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Imaging"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.4</span> <span>Imaging</span> </div> </a> <ul id="toc-Imaging-sublist" class="vector-toc-list"> <li id="toc-Asymmetry_in_thickness_of_RNFL" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Asymmetry_in_thickness_of_RNFL"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.4.1</span> <span>Asymmetry in thickness of RNFL</span> </div> </a> <ul id="toc-Asymmetry_in_thickness_of_RNFL-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> </ul> </li> <li id="toc-Cause" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Cause"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Cause</span> </div> </a> <button aria-controls="toc-Cause-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Cause subsection</span> </button> <ul id="toc-Cause-sublist" class="vector-toc-list"> <li id="toc-Demyelinating_recurrent_optic_neuritis_and_non-demyelinating_(CRION)" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Demyelinating_recurrent_optic_neuritis_and_non-demyelinating_(CRION)"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>Demyelinating recurrent optic neuritis and non-demyelinating (CRION)</span> </div> </a> <ul id="toc-Demyelinating_recurrent_optic_neuritis_and_non-demyelinating_(CRION)-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Outlook_and_Treatment" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Outlook_and_Treatment"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Outlook and Treatment</span> </div> </a> <button aria-controls="toc-Outlook_and_Treatment-sublist" class="cdx-button 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<div class="vector-toc-text"> <span class="vector-toc-numb">3.3</span> <span>Pain relief</span> </div> </a> <ul id="toc-Pain_relief-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Epidemiology" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Epidemiology"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Epidemiology</span> </div> </a> <ul id="toc-Epidemiology-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Society_and_culture" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Society_and_culture"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Society and culture</span> </div> </a> <ul id="toc-Society_and_culture-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>See also</span> </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>External links</span> </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header 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</div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Optic neuritis</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 23 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-23" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">23 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%A7%D9%84%D8%AA%D9%87%D8%A7%D8%A8_%D8%A7%D9%84%D8%B9%D8%B5%D8%A8_%D8%A7%D9%84%D8%A8%D8%B5%D8%B1%D9%8A" title="التهاب العصب البصري – Arabic" lang="ar" hreflang="ar" data-title="التهاب العصب البصري" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Optik_nevrit" title="Optik nevrit – Azerbaijani" lang="az" hreflang="az" data-title="Optik nevrit" data-language-autonym="Azərbaycanca" data-language-local-name="Azerbaijani" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Neuritis_%C3%B2ptica" title="Neuritis òptica – Catalan" lang="ca" hreflang="ca" data-title="Neuritis òptica" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Optick%C3%A1_neuritida" title="Optická neuritida – Czech" lang="cs" hreflang="cs" data-title="Optická neuritida" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Neuritis_nervi_optici" title="Neuritis nervi optici – German" lang="de" hreflang="de" data-title="Neuritis nervi optici" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Neuritis_%C3%B3ptica" title="Neuritis óptica – Spanish" lang="es" hreflang="es" data-title="Neuritis óptica" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Neuritis_optiko" title="Neuritis optiko – Basque" lang="eu" hreflang="eu" data-title="Neuritis optiko" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%A7%D9%84%D8%AA%D9%87%D8%A7%D8%A8_%D8%B9%D8%B5%D8%A8_%D8%A8%DB%8C%D9%86%D8%A7%DB%8C%DB%8C" title="التهاب عصب بینایی – Persian" lang="fa" hreflang="fa" data-title="التهاب عصب بینایی" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/N%C3%A9vrite_optique" title="Névrite optique – French" lang="fr" hreflang="fr" data-title="Névrite optique" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%8B%9C%EC%8B%A0%EA%B2%BD%EC%97%BC" title="시신경염 – Korean" lang="ko" hreflang="ko" data-title="시신경염" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Opti%C4%8Dki_neuritis" title="Optički neuritis – Croatian" lang="hr" hreflang="hr" data-title="Optički neuritis" data-language-autonym="Hrvatski" data-language-local-name="Croatian" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Neurite_ottica" title="Neurite ottica – Italian" lang="it" hreflang="it" data-title="Neurite ottica" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%93%D7%9C%D7%A7%D7%AA_%D7%A2%D7%A6%D7%91_%D7%94%D7%A8%D7%90%D7%99%D7%99%D7%94" title="דלקת עצב הראייה – Hebrew" lang="he" hreflang="he" data-title="דלקת עצב הראייה" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Neuritis_optica" title="Neuritis optica – Dutch" lang="nl" hreflang="nl" data-title="Neuritis optica" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E8%A6%96%E7%A5%9E%E7%B5%8C%E7%82%8E" title="視神経炎 – Japanese" lang="ja" hreflang="ja" data-title="視神経炎" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-uz mw-list-item"><a href="https://uz.wikipedia.org/wiki/Optik_nevrit" title="Optik nevrit – Uzbek" lang="uz" hreflang="uz" data-title="Optik nevrit" data-language-autonym="Oʻzbekcha / ўзбекча" data-language-local-name="Uzbek" class="interlanguage-link-target"><span>Oʻzbekcha / ўзбекча</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Zapalenie_nerwu_wzrokowego" title="Zapalenie nerwu wzrokowego – Polish" lang="pl" hreflang="pl" data-title="Zapalenie nerwu wzrokowego" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Neurite_%C3%B3ptica" title="Neurite óptica – Portuguese" lang="pt" hreflang="pt" data-title="Neurite óptica" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%9D%D0%B5%D0%B2%D1%80%D0%B8%D1%82_%D0%B7%D1%80%D0%B8%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE_%D0%BD%D0%B5%D1%80%D0%B2%D0%B0" title="Неврит зрительного нерва – Russian" lang="ru" hreflang="ru" data-title="Неврит зрительного нерва" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/%D0%97%D0%B0%D0%BF%D0%B0%D1%99%D0%B5%D1%9A%D0%B5_%D0%BE%D0%BF%D1%82%D0%B8%D1%87%D0%BA%D0%BE%D0%B3_%D0%B6%D0%B8%D0%B2%D1%86%D0%B0" title="Запаљење оптичког живца – Serbian" lang="sr" hreflang="sr" data-title="Запаљење оптичког живца" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-tt mw-list-item"><a href="https://tt.wikipedia.org/wiki/%D0%9A%D2%AF%D1%80%D2%AF_%D0%BD%D0%B5%D1%80%D0%B2%D1%8B_%D0%BD%D0%B5%D0%B2%D1%80%D0%B8%D1%82%D1%8B" title="Күрү нервы невриты – Tatar" lang="tt" hreflang="tt" data-title="Күрү нервы невриты" data-language-autonym="Татарча / tatarça" data-language-local-name="Tatar" class="interlanguage-link-target"><span>Татарча / tatarça</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Optik_n%C3%B6rit" title="Optik nörit – Turkish" lang="tr" hreflang="tr" data-title="Optik nörit" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/Vi%C3%AAm_d%C3%A2y_th%E1%BA%A7n_kinh_th%E1%BB%8B_gi%C3%A1c" title="Viêm dây thần kinh thị giác – Vietnamese" lang="vi" hreflang="vi" data-title="Viêm dây thần kinh thị giác" data-language-autonym="Tiếng Việt" data-language-local-name="Vietnamese" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q972514#sitelinks-wikipedia" title="Edit interlanguage links" class="wbc-editpage">Edit links</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="Namespaces"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-associated-pages" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="ca-nstab-main" class="selected vector-tab-noicon mw-list-item"><a href="/wiki/Optic_neuritis" title="View the content page [c]" accesskey="c"><span>Article</span></a></li><li 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.infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox ib-medical-condition"><tbody><tr><th colspan="2" class="infobox-above" style="background:#ccc">Optic neuritis</th></tr><tr style="background-color: #f8f9fa;"><td colspan="2" class="infobox-full-data"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Optic_Neuritis.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a8/Optic_Neuritis.png/220px-Optic_Neuritis.png" decoding="async" width="220" height="83" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a8/Optic_Neuritis.png/330px-Optic_Neuritis.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a8/Optic_Neuritis.png/440px-Optic_Neuritis.png 2x" data-file-width="1257" data-file-height="476" /></a></span></td></tr><tr><td colspan="2" class="infobox-full-data">Optic Neuritis following a febrile infection in a young woman</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_specialty" title="Medical specialty">Specialty</a></th><td class="infobox-data"><a href="/wiki/Ophthalmology" title="Ophthalmology">Ophthalmology</a>, <a href="/wiki/Optometry" title="Optometry">optometry</a>, <a href="/wiki/Neurology" title="Neurology">neurology</a></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Signs_and_symptoms" title="Signs and symptoms">Symptoms</a></th><td class="infobox-data">loss of vision, loss of colour vision, pain worsening on eye movements</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Complication_(medicine)" title="Complication (medicine)">Complications</a></th><td class="infobox-data">multiple sclerosis, MOG-disease, NMO</td></tr><tr><th scope="row" class="infobox-label">Usual onset</th><td class="infobox-data">subacute</td></tr><tr><th scope="row" class="infobox-label">Duration</th><td class="infobox-data">1-3 months</td></tr><tr><th scope="row" class="infobox-label">Types</th><td class="infobox-data">MS-ON, MOG-ON, AQP4-ON, CRMP5-ON, SION, RION, CRION, post-infectious ON, post-vaccination ON, ON as complication of systemic diseases or meidication</td></tr><tr><th scope="row" class="infobox-label">Causes</th><td class="infobox-data">autoimmune, infection, vaccination, medication</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Risk_factor" title="Risk factor">Risk factors</a></th><td class="infobox-data">genetic</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_diagnosis" title="Medical diagnosis">Diagnostic method</a></th><td class="infobox-data">Diagnostic criteria</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Prognosis" title="Prognosis">Prognosis</a></th><td class="infobox-data">Prognosis depends on the subtype of ON</td></tr><tr><th scope="row" class="infobox-label">Frequency</th><td class="infobox-data">can be relapsing</td></tr></tbody></table> <p><b>Optic neuritis</b> describes any condition that causes inflammation of the <a href="/wiki/Optic_nerve" title="Optic nerve">optic nerve</a>; it may be associated with <a href="/wiki/Demyelinating_disease" title="Demyelinating disease">demyelinating diseases</a>, or infectious or inflammatory processes.<sup id="cite_ref-Petzold_2022_1-0" class="reference"><a href="#cite_note-Petzold_2022-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> </p><p>It is also known as <a href="/wiki/Optic_papillitis" title="Optic papillitis">optic papillitis</a> (when the head of the optic nerve is involved), neuroretinitis (when there is a combined involvement of the <a href="/wiki/Optic_disc" title="Optic disc">optic disc</a> and surrounding <a href="/wiki/Retina" title="Retina">retina</a> in the macular area) and retrobulbar neuritis (when the posterior part of the nerve is involved). Prelaminar optic neuritis describes involvement of the non-myelinated <a href="/wiki/Axon" title="Axon">axons</a> in the retina.<sup id="cite_ref-Petzold_2022_1-1" class="reference"><a href="#cite_note-Petzold_2022-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Classification,_diagnosis_and_symptoms"><span id="Classification.2C_diagnosis_and_symptoms"></span>Classification, diagnosis and symptoms</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=1" title="Edit section: Classification, diagnosis and symptoms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size mw-halign-right" typeof="mw:File/Thumb"><a href="/wiki/File:OpticNeuritisExample.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/2/20/OpticNeuritisExample.jpg/220px-OpticNeuritisExample.jpg" decoding="async" width="220" height="115" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/2/20/OpticNeuritisExample.jpg/330px-OpticNeuritisExample.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/2/20/OpticNeuritisExample.jpg/440px-OpticNeuritisExample.jpg 2x" data-file-width="1450" data-file-height="758" /></a><figcaption>Example of how optic neuritis affected one eye of a person with multiple sclerosis</figcaption></figure> <div class="mw-heading mw-heading3"><h3 id="Classification_and_diagnosis">Classification and diagnosis</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=2" title="Edit section: Classification and diagnosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The <a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a>'s <a href="/wiki/ICD-11" title="ICD-11">ICD-11</a> classification includes optic neuritis.<sup id="cite_ref-auto1_2-0" class="reference"><a href="#cite_note-auto1-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> However a 2022 review found that there is no consensus regarding the classification of optic neuritis, and precise diagnostic criteria are not available.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Symptoms">Symptoms</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=3" title="Edit section: Symptoms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Major symptoms are </p> <ul><li>sudden loss of vision (partial or complete),</li> <li>sudden <a href="/wiki/Blurred_vision" title="Blurred vision">blurred</a> or "foggy" vision, and</li> <li><a href="/wiki/Pain" title="Pain">pain</a> on movement of the affected eye.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-auto_5-0" class="reference"><a href="#cite_note-auto-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-auto1_2-1" class="reference"><a href="#cite_note-auto1-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup></li></ul> <p>Many patients with optic neuritis may lose some of their <a href="/wiki/Color_vision" title="Color vision">color vision</a> in the affected eye (especially <a href="/wiki/Red" title="Red">red</a>), with colors appearing subtly washed out compared to the other eye. Patients may also experience difficulties judging movement in depth, which can be particular troublesome during driving or sport (<a href="/wiki/Pulfrich_effect" title="Pulfrich effect">Pulfrich effect</a>). Likewise, transient worsening of vision with increase of body temperature (<a href="/wiki/Uhthoff%27s_phenomenon" title="Uhthoff&#39;s phenomenon">Uhthoff's phenomenon</a>) and glare disability are a frequent complaint. </p><p>However not everyone who has optic neuritis has problems with their vision.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Early_symptoms">Early symptoms</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=4" title="Edit section: Early symptoms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Early symptoms that require investigation include symptoms from multiple sclerosis (twitching, lack of coordination, slurred speech, frequent episodes of partial vision loss or blurred vision), episodes of "disturbed/blackened" rather than blurry indicate moderate stage and require immediate medical attention to prevent further loss of vision. Other early symptoms are reduced <a href="/wiki/Night_vision" title="Night vision">night vision</a>, <a href="/wiki/Photophobia" title="Photophobia">photophobia</a> and <a href="/wiki/Red_eye_(medicine)" title="Red eye (medicine)">red eyes</a>. </p> <div class="mw-heading mw-heading4"><h4 id="Variation_in_symptoms_with_age">Variation in symptoms with age</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=5" title="Edit section: Variation in symptoms with age"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Several case studies in children have demonstrated the absence of pain in more than half of cases (approximately 60%) in their pediatric study population, with the most common symptom reported simply as "blurriness".<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> Other remarkable differences between the presentation of adult optic neuritis as compared to pediatric cases include more often unilateral optic neuritis in adults, while children much predominantly present with bilateral involvement. </p> <div class="mw-heading mw-heading3"><h3 id="Observation">Observation</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=6" title="Edit section: Observation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>On medical examination the head of the optic nerve can easily be visualized by a <a href="/wiki/Slit_lamp" title="Slit lamp">slit lamp</a> with a high positive lens or by using direct <a href="/wiki/Ophthalmoscopy" title="Ophthalmoscopy">ophthalmoscopy</a>; however, frequently there is no abnormal appearance of the nerve head in optic neuritis (in cases of retrobulbar optic neuritis), though it may be swollen in some patients (anterior papillitis or more extensive optic neuritis). In many cases, only one eye is affected, and patients may not be aware of the <a href="/wiki/Colour_vision_deficiency" class="mw-redirect" title="Colour vision deficiency">loss of color vision</a> until they are asked to close or cover the healthy eye. </p> <div class="mw-heading mw-heading3"><h3 id="Imaging">Imaging</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=7" title="Edit section: Imaging"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div><p> Imaging of the optic nerve with MRI shows increased signal on the affected side. There is contrast enhancement of the symptomatic optic nerve and sheaths acutely or intrinsic signal increase (looking brighter) within ≥ 3 months.<sup id="cite_ref-Petzold_2022_1-2" class="reference"><a href="#cite_note-Petzold_2022-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> </p><figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Case-3-mri.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/4/41/Case-3-mri.png/220px-Case-3-mri.png" decoding="async" width="220" height="166" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/41/Case-3-mri.png/330px-Case-3-mri.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/4/41/Case-3-mri.png/440px-Case-3-mri.png 2x" data-file-width="813" data-file-height="615" /></a><figcaption>Magnetic Resonnance Imaging (MRI) during an episode of optic neuritis.</figcaption></figure> <p>Advanced imaging using <a href="/wiki/Optical_coherence_tomography" title="Optical coherence tomography">optical coherence tomography</a> (OCT) is very sensitive reveal damage to the optic nerve. The OCT shows corresponding optic disc swelling acutely or an inter-eye difference in the thickness of the neurons and their nerves connecting the eye with the brain in above 4-5% within ≥ 3 months after onset.<sup id="cite_ref-Petzold_2022_1-3" class="reference"><a href="#cite_note-Petzold_2022-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Asymmetry_in_thickness_of_RNFL">Asymmetry in thickness of RNFL</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=8" title="Edit section: Asymmetry in thickness of RNFL"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Asymmetry between the eyes in thickness of <a href="/wiki/Retinal_nerve_fiber_layer#Asymmetric_RNFL" title="Retinal nerve fiber layer">RNFL</a> has been proposed as a strong indicator of optic neuritis.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid33278142_10-0" class="reference"><a href="#cite_note-pmid33278142-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid34764152_11-0" class="reference"><a href="#cite_note-pmid34764152-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Cause">Cause</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=9" title="Edit section: Cause"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The <a href="/wiki/Optic_nerve" title="Optic nerve">optic nerve</a> comprises <a href="/wiki/Axon" title="Axon">axons</a> that emerge from the <a href="/wiki/Retina" title="Retina">retina</a> of the <a href="/wiki/Human_eye" title="Human eye">eye</a> and carry visual information to the primary visual nuclei, most of which is relayed to the <a href="/wiki/Occipital_lobe" title="Occipital lobe">occipital cortex</a> of the <a href="/wiki/Human_brain" title="Human brain">brain</a> to be processed into vision. <a href="/wiki/Inflammation" title="Inflammation">Inflammation</a> of the optic nerve causes loss of vision, usually because of the swelling and destruction of the <a href="/wiki/Myelin" title="Myelin">myelin</a> sheath covering the optic nerve. </p><p>A 2019 review divided optic neuritis into </p> <ul><li>Typical optic neuritis - an idiopathic demyelinating condition that is often associated with multiple sclerosis.</li> <li>Atypical optic neuritis - resulting from an inflammatory, infectious, or autoimmune disorder.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup></li></ul> <p>The most common cause is <a href="/wiki/Multiple_sclerosis" title="Multiple sclerosis">multiple sclerosis</a> (MS) or <a href="/wiki/Ischemic_optic_neuropathy" title="Ischemic optic neuropathy">ischemic optic neuropathy</a> due to <a href="/wiki/Thrombosis" title="Thrombosis">thrombosis</a> or <a href="/wiki/Embolism" title="Embolism">embolism</a> of the vessel that supplies the optic nerve.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-BiousseCampion2015_14-0" class="reference"><a href="#cite_note-BiousseCampion2015-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> Up to 50% of patients with MS will develop an episode of optic neuritis, and 20–30% of the time optic neuritis is the presenting <a href="/wiki/Multiple_sclerosis_signs_and_symptoms" class="mw-redirect" title="Multiple sclerosis signs and symptoms">sign of MS</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="no reference for this information (April 2018)">citation needed</span></a></i>&#93;</sup> The presence of demyelinating <a href="/wiki/White_matter" title="White matter">white matter</a> lesions on brain <a href="/wiki/MRI" class="mw-redirect" title="MRI">MRI</a> at the time of presentation of optic neuritis is the strongest predictor for developing clinically definite MS. Almost half of the patients with optic neuritis have white matter lesions consistent with multiple sclerosis. </p><p>Some other common causes of optic neuritis include infection (e.g. a <a href="/wiki/Dental_abscess" title="Dental abscess">tooth abscess</a> in the upper jaw, <a href="/wiki/Syphilis" title="Syphilis">syphilis</a>, <a href="/wiki/Lyme_disease" title="Lyme disease">Lyme disease</a>, <a href="/wiki/Herpes_zoster" class="mw-redirect" title="Herpes zoster">herpes zoster</a>), <a href="/wiki/Autoimmune_disorder" class="mw-redirect" title="Autoimmune disorder">autoimmune disorders</a> (e.g. <a href="/wiki/Lupus_erythematosus" title="Lupus erythematosus">lupus</a>, <a href="/wiki/Neurosarcoidosis" title="Neurosarcoidosis">neurosarcoidosis</a>, <a href="/wiki/Neuromyelitis_optica" class="mw-redirect" title="Neuromyelitis optica">neuromyelitis optica</a>), <a href="/wiki/Methanol_toxicity" title="Methanol toxicity">methanol poisoning</a>, <a href="/wiki/Vitamin_B12_deficiency" title="Vitamin B12 deficiency">vitamin B<sub>12</sub> deficiency</a>, <a href="/wiki/Thiamine_deficiency" title="Thiamine deficiency">beriberi</a>, <a href="/wiki/Dysautonomia" title="Dysautonomia">dysautonomia</a> (i.e. <a href="/wiki/Autonomic_nervous_system" title="Autonomic nervous system">autonomic nervous system</a> dysfunction), and <a href="/wiki/Diabetes" title="Diabetes">diabetes</a>, or an injury to the eye.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> In neuromyelitis optica higher AQP4 <a href="/wiki/Autoantibody" title="Autoantibody">autoantibody</a> levels are associated with the occurrence of optic neuritis.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup> </p><p>Less common causes are: <a href="/wiki/Papilledema" title="Papilledema">papilledema</a>, <a href="/wiki/Brain_tumor" title="Brain tumor">brain tumor</a> or abscess in the occipital region, <a href="/wiki/Traumatic_brain_injury" title="Traumatic brain injury">cerebral trauma</a> or <a href="/wiki/Bleeding" title="Bleeding">hemorrhage</a>, <a href="/wiki/Meningitis" title="Meningitis">meningitis</a>, arachnoidal adhesions, sinus thrombosis, <a href="/wiki/Liver_disease" title="Liver disease">liver dysfunction</a>, or late stage <a href="/wiki/Kidney_disease" title="Kidney disease">kidney disease</a>. </p> <table class="wikitable sortable"> <caption>Approximate Cause Data (Other TOP Ranking diseases include: Cancer, Heart Disease, Respiratory, Stroke, Diabetes, Alzheimers, Kidney Disease, Parkinsons, Suicide)<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr> <th>Cause and Rank based on Deaths </th> <th>Annual Num Cases TOTAL (US) (2011) </th> <th>Annual Cases leading to Optic Neuritis </th> <th>Percent </th> <th>Prognosis and Treatment </th></tr> <tr> <td><a href="/wiki/Multiple_sclerosis" title="Multiple sclerosis">Multiple sclerosis</a> (Rank 33)</td> <td>400,042</td> <td>146,232</td> <td>45%</td> <td>Most common cause. Almost all patients will experience some form of vision dysfunction. Partial vision loss can occur through the duration of the disease; total vision loss occurs in severe cases and late stages. It may lead to complete or partial <a href="/wiki/Visual_impairment" title="Visual impairment">loss of vision</a> in one or both eyes. Partial, transient vision loss (lasting less than one hour) can be an indication of early onset multiple sclerosis.<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> <ul><li><a href="/wiki/Leber%27s_hereditary_optic_neuropathy" title="Leber&#39;s hereditary optic neuropathy">Leber's hereditary optic neuropathy</a></li></ul> </td></tr> <tr> <td><a href="/wiki/Thrombus" title="Thrombus">Blood clot</a> (Rank 29) (Optic ONLY)</td> <td>17,000</td> <td>16,777</td> <td>5%</td> <td>Reversible if early and before reduced blood flow causes permanent damage. </td></tr> <tr> <td>Nerve pinch (0)</td> <td>NOT REPORTED</td> <td>-</td> <td>4%</td> <td>Usually heals itself, treatment not needed. </td></tr> <tr> <td>Injury to <a href="/wiki/Optic_nerve" title="Optic nerve">optic nerve</a> (including poisoning, i.e. <a href="/wiki/Methanol_toxicity" title="Methanol toxicity">methanol</a>) (0)</td> <td>23,827</td> <td>20,121</td> <td>&lt;1%</td> <td>Depends on severity, usually treatable. </td></tr> <tr> <td><a href="/wiki/Liver_disease" title="Liver disease">Liver dysfunction</a> (Rank 19); if untreated can lead to Failure (Rank 8)</td> <td>141,211</td> <td>11,982</td> <td>7%</td> <td>Poor outcomes and progresses and can lead to total vision loss. </td></tr> <tr> <td>Reduced kidney function (treatable with diet change) (Rank 67 – If untreated, can progress to late stage with much greater mortality rates)</td> <td>509,898</td> <td>16,281</td> <td>9%</td> <td>Good outcomes if early, and can usually be treated with diet changes, progresses and can lead to total vision loss. </td></tr> <tr> <td>Late stage <a href="/wiki/Kidney_failure" title="Kidney failure">kidney failure</a> (Rank 7)</td> <td>33,212</td> <td>1,112</td> <td>2%</td> <td>Poor outcomes – usually permanent <a href="/wiki/Nerve_injury" title="Nerve injury">nerve damage</a> at this stage. </td></tr> <tr> <td><a href="/wiki/Papilledema" title="Papilledema">Papilledema</a> (<a href="/wiki/Brain_tumor" title="Brain tumor">brain tumor</a> or <a href="/wiki/Brain_abscess" title="Brain abscess">abscess</a>) (Rank 10)</td> <td>45,888</td> <td>9,231</td> <td>3%</td> <td>Depends on severity. </td></tr> <tr> <td><a href="/wiki/Meningitis" title="Meningitis">Meningitis</a> (Rank 61)</td> <td>2,521</td> <td>189</td> <td>&lt;1%</td> <td>Depends on severity. </td></tr> <tr> <td>Other <a href="/wiki/Infection" title="Infection">infections</a> (not from abscess)</td> <td>5,561</td> <td>-</td> <td>&lt;1%</td> <td>Good outcomes, treatable with <a href="/wiki/Antibiotic" title="Antibiotic">antibiotics</a> or other microbial drugs. </td></tr> <tr> <td><a href="/wiki/Diabetes" title="Diabetes">Diabetes</a> (early stage treatable, late Stage has worse prognosis) (Rank 6)</td> <td>49,562</td> <td>21,112</td> <td>15%</td> <td><a href="/wiki/Type_1_diabetes" title="Type 1 diabetes">Type 1</a> carries poor prognosis, <a href="/wiki/Type_2_diabetes" title="Type 2 diabetes">type 2</a> can be treated and vision returned. </td></tr> <tr> <td>Unknown</td> <td>-</td> <td>-</td> <td>2%</td> <td> </td></tr></tbody></table> <p><br /> Other diseases associated with optic neuritis include:<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>Parainfectious optic neuritis (associated with <a href="/wiki/Viral_disease" title="Viral disease">viral infections</a> such as <a href="/wiki/Measles" title="Measles">measles</a>, <a href="/wiki/Mumps" title="Mumps">mumps</a>, <a href="/wiki/Chickenpox" title="Chickenpox">chickenpox</a>, <a href="/wiki/Whooping_cough" title="Whooping cough">whooping cough</a> and <a href="/wiki/Infectious_mononucleosis" title="Infectious mononucleosis">glandular fever</a>)</li> <li>Infectious optic neuritis (sinus related or associated with <a href="/wiki/Cat-scratch_disease" title="Cat-scratch disease">cat-scratch fever</a>, <a href="/wiki/Tuberculosis" title="Tuberculosis">tuberculosis</a>, <a href="/wiki/Lyme_disease" title="Lyme disease">Lyme disease</a> and <a href="/wiki/Cryptococcosis" title="Cryptococcosis">cryptococcal meningitis</a> in <a href="/wiki/HIV/AIDS" title="HIV/AIDS">AIDS</a> patients</li> <li><a href="/wiki/Autoimmune_optic_neuropathy" title="Autoimmune optic neuropathy">Autoimmune causes</a> (<a href="/wiki/Sarcoidosis" title="Sarcoidosis">sarcoidosis</a>, <a href="/wiki/Systemic_lupus_erythematosus" class="mw-redirect" title="Systemic lupus erythematosus">systemic lupus erythematosus</a>, <a href="/wiki/Polyarteritis_nodosa" title="Polyarteritis nodosa">polyarteritis nodosa</a>, <a href="/wiki/MOG_antibody_disease" title="MOG antibody disease">MOG antibody disease</a>, <a href="/wiki/Granulomatosis_with_polyangiitis" title="Granulomatosis with polyangiitis">granulomatosis with polyangiitis</a>)</li> <li>Low <a href="/wiki/Phosphorus" title="Phosphorus">phosphorus</a> levels</li> <li><a href="/wiki/Hyperkalaemia" class="mw-redirect" title="Hyperkalaemia">Hyperkalaemia</a></li></ul> <div class="mw-heading mw-heading3"><h3 id="Demyelinating_recurrent_optic_neuritis_and_non-demyelinating_(CRION)"><span id="Demyelinating_recurrent_optic_neuritis_and_non-demyelinating_.28CRION.29"></span>Demyelinating recurrent optic neuritis and non-demyelinating (CRION)</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=10" title="Edit section: Demyelinating recurrent optic neuritis and non-demyelinating (CRION)"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The repetition of an idiopathic optic neuritis is considered a distinct clinical condition, and when it shows demyelination, it has been found to be associated to anti-<a href="/wiki/Myelin_oligodendrocyte_glycoprotein" title="Myelin oligodendrocyte glycoprotein">MOG</a> and AQP4-negative <a href="/wiki/Neuromyelitis_optica" class="mw-redirect" title="Neuromyelitis optica">neuromyelitis optica</a>.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> </p><p>When an inflammatory recurrent optic neuritis is not demyelinating, it is called <a href="/wiki/Chronic_relapsing_inflammatory_optic_neuropathy" title="Chronic relapsing inflammatory optic neuropathy">chronic relapsing inflammatory optic neuropathy</a> (CRION).<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> </p><p>When it is anti-MOG related, it is demyelinating and it is considered inside the <a href="/wiki/Anti-MOG_associated_inflammatory_demyelinating_diseases" class="mw-redirect" title="Anti-MOG associated inflammatory demyelinating diseases">anti-MOG associated inflammatory demyelinating diseases</a>. </p><p>Some reports point to the possibility to establish a difference via <a href="/wiki/Optical_coherence_tomography" title="Optical coherence tomography">optical coherence tomography</a>.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Outlook_and_Treatment">Outlook and Treatment</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=11" title="Edit section: Outlook and Treatment"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Many patients see full recovery but some see some lasting effects.<sup id="cite_ref-auto_5-1" class="reference"><a href="#cite_note-auto-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Steroids">Steroids</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=12" title="Edit section: Steroids"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>High dose steroids may be given intravenously or orally.<sup id="cite_ref-auto_5-2" class="reference"><a href="#cite_note-auto-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p><p>In most MS-associated optic neuritis, visual function spontaneously improves over 2–3 months, and there is evidence that <a href="/wiki/Corticosteroid" title="Corticosteroid">corticosteroid</a> treatment does not affect the long term outcome. However, for optic neuritis that is not MS-associated (or atypical optic neuritis) the evidence is less clear and therefore the threshold for treatment with intravenous corticosteroids is lower.<sup id="cite_ref-Petzold_2022_1-4" class="reference"><a href="#cite_note-Petzold_2022-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> Intravenous corticosteroids also reduce the risk of developing MS in the following two years in patients with MRI lesions; but this effect disappears by the third year of follow up.<sup id="cite_ref-The_effect_of_corticosteroids_for_a_25-0" class="reference"><a href="#cite_note-The_effect_of_corticosteroids_for_a-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> </p><p>Paradoxically, oral administration of corticosteroids in this situation may lead to more recurrent attacks than in non-treated patients (though oral steroids are generally prescribed after the intravenous course, to wean the patient off the medication). This effect of corticosteroids seems to be limited to optic neuritis and has not been observed in other diseases treated with corticosteroids.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup> </p><p>A <a href="/wiki/Cochrane_(organisation)" title="Cochrane (organisation)">Cochrane</a> <a href="/wiki/Systematic_review" title="Systematic review">systematic review</a> studied the effect of corticosteroids for treating people with acute optic neuritis.<sup id="cite_ref-Vedula_27-0" class="reference"><a href="#cite_note-Vedula-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup> Specific corticosteroids studied included intravenous and oral methylprednisone, and oral <a href="/wiki/Prednisone" title="Prednisone">prednisone</a>. The authors conclude that current evidence does not show a benefit of either intravenous or oral corticosteroids for rate of recovery of vision (in terms of visual acuity, contrast sensitivity, or visual fields).<sup id="cite_ref-Vedula_27-1" class="reference"><a href="#cite_note-Vedula-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup> There are a number of reasons why this might be the case.<sup id="cite_ref-The_effect_of_corticosteroids_for_a_25-1" class="reference"><a href="#cite_note-The_effect_of_corticosteroids_for_a-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Immunosuppressants">Immunosuppressants</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=13" title="Edit section: Immunosuppressants"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Immunosuppressants may also be used in treatment.<sup id="cite_ref-auto_5-3" class="reference"><a href="#cite_note-auto-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Pain_relief">Pain relief</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=14" title="Edit section: Pain relief"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Pain relief may also be used.<sup id="cite_ref-auto_5-4" class="reference"><a href="#cite_note-auto-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Epidemiology">Epidemiology</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=15" title="Edit section: Epidemiology"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Optic neuritis typically affects young adults ranging 18–45 years of age, with a mean age of 30–35 years. There is a strong female predominance. The annual incidence is approximately 5/100,000, with a prevalence estimated to be 115/100,000 (0.12%).<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Society_and_culture">Society and culture</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=16" title="Edit section: Society and culture"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In <a href="/wiki/Charles_Dickens" title="Charles Dickens">Charles Dickens</a>' <i><a href="/wiki/Bleak_House" title="Bleak House">Bleak House</a></i>, the main character, Esther Summerville, has a transient episode of visual loss, the symptoms of which are also seen in people who have optic neuritis.<sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup> Legal historian <a href="/wiki/William_Searle_Holdsworth" title="William Searle Holdsworth">William Searle Holdsworth</a> suggested that the events in <i>Bleak House</i> took place in 1827. </p><p>In an episode of <i><a href="/wiki/Dr._Quinn,_Medicine_Woman" title="Dr. Quinn, Medicine Woman">Dr. Quinn, Medicine Woman</a></i> ("Season of Miracles", season five), Reverend Timothy Johnson is struck blind by optic neuritis on Christmas Day 1872. He remains blind for the duration of the series. </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=17" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/Optic_neuropathy" title="Optic neuropathy">Optic neuropathy</a></li> <li><a href="/wiki/Visual_snow" class="mw-redirect" title="Visual snow">Visual snow</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Optic_neuritis&amp;action=edit&amp;section=18" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist reflist-columns references-column-width" style="column-width: 30em;"> <ol class="references"> <li id="cite_note-Petzold_2022-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-Petzold_2022_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Petzold_2022_1-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Petzold_2022_1-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-Petzold_2022_1-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-Petzold_2022_1-4"><sup><i><b>e</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFPetzoldFraserAbeggAlroughani2022" class="citation journal cs1">Petzold A, Fraser CL, Abegg M, Alroughani R, Alshowaeir D, Alvarenga R, et&#160;al. 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title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Neurology&amp;rft.atitle=Optic+neuritis%3A+a+population-based+study+in+Olmsted+County%2C+Minnesota&amp;rft.volume=45&amp;rft.issue=2&amp;rft.pages=244-250&amp;rft.date=1995-02&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A25800388%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F7854520&amp;rft_id=info%3Adoi%2F10.1212%2FWNL.45.2.244&amp;rft.aulast=Rodriguez&amp;rft.aufirst=M&amp;rft.au=Siva%2C+A&amp;rft.au=Cross%2C+SA&amp;rft.au=O%27Brien%2C+PC&amp;rft.au=Kurland%2C+LT&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AOptic+neuritis" class="Z3988"></span></span> </li> <li id="cite_note-30"><span class="mw-cite-backlink"><b><a href="#cite_ref-30">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFPetzold2013" class="citation journal cs1">Petzold A (2013). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5291069">"Optic Neuritis: Another Dickensian Diagnosis"</a>. <i>Neuro-Ophthalmology</i>. <b>37</b> (6): 247–250. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.3109%2F01658107.2013.830313">10.3109/01658107.2013.830313</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5291069">5291069</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/28167994">28167994</a>.</cite><span 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class="mw-editsection-bracket">]</span></span></div> <ul><li><a rel="nofollow" class="external text" href="https://discovery.ucl.ac.uk/id/eprint/10156457/">Diagnosis and classification of optic neuritis</a>, translated into 116 languages and free for download</li></ul> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1236075235">.mw-parser-output .navbox{box-sizing:border-box;border:1px solid #a2a9b1;width:100%;clear:both;font-size:88%;text-align:center;padding:1px;margin:1em auto 0}.mw-parser-output .navbox .navbox{margin-top:0}.mw-parser-output .navbox+.navbox,.mw-parser-output .navbox+.navbox-styles+.navbox{margin-top:-1px}.mw-parser-output .navbox-inner,.mw-parser-output .navbox-subgroup{width:100%}.mw-parser-output .navbox-group,.mw-parser-output .navbox-title,.mw-parser-output .navbox-abovebelow{padding:0.25em 1em;line-height:1.5em;text-align:center}.mw-parser-output .navbox-group{white-space:nowrap;text-align:right}.mw-parser-output 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href="https://icd.who.int/browse/latest-release/mms/en#210935787">9C40.1</a></li><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/ICD-10" title="ICD-10">10</a></b>: <a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/H46">H46</a></li><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/List_of_ICD-9_codes" title="List of ICD-9 codes">9-CM</a></b>: <a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=377.30">377.30</a></li><li><b><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></b>: <a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D009902">D009902</a></li><li><b><a href="/wiki/Diseases_Database" title="Diseases Database">DiseasesDB</a></b>: <a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb9242.htm">9242</a></li></ul></div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background: #EAECF0;color:black;">External resources</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></b>: <a rel="nofollow" class="external text" href="https://www.nlm.nih.gov/medlineplus/ency/article/000741.htm">000741</a></li><li><b><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></b>: <a rel="nofollow" class="external text" href="https://emedicine.medscape.com/radio/488-overview">radio/488</a></li></ul></div></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"></div><div role="navigation" class="navbox" aria-labelledby="Diseases_of_the_human_eye" style="padding:3px"><table class="nowraplinks mw-collapsible expanded navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output 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(medicine)">Epiphora</a></li> <li><a href="/wiki/Dacryocystitis" title="Dacryocystitis">Dacryocystitis</a></li> <li><a href="/wiki/Xerophthalmia" title="Xerophthalmia">Xerophthalmia</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Orbit_(anatomy)" title="Orbit (anatomy)">Orbit</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Exophthalmos" title="Exophthalmos">Exophthalmos</a></li> <li><a href="/wiki/Enophthalmos" title="Enophthalmos">Enophthalmos</a></li> <li><a href="/wiki/Orbital_cellulitis" title="Orbital cellulitis">Orbital cellulitis</a></li> <li><a href="/wiki/Orbital_lymphoma" title="Orbital lymphoma">Orbital lymphoma</a></li> <li><a href="/wiki/Periorbital_cellulitis" title="Periorbital cellulitis">Periorbital cellulitis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a 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style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks mw-collapsible mw-collapsed navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><div id="Globe" style="font-size:114%;margin:0 4em"><a href="/wiki/Globe_(human_eye)" title="Globe (human eye)">Globe</a></div></th></tr><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Fibrous_tunic_of_eyeball" title="Fibrous tunic of eyeball">Fibrous tunic</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Sclera" title="Sclera">Sclera</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Scleritis" title="Scleritis">Scleritis</a></li> <li><a href="/wiki/Episcleritis" title="Episcleritis">Episcleritis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Cornea" title="Cornea">Cornea</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Keratitis" title="Keratitis">Keratitis</a> <ul><li><a href="/wiki/Herpetic_keratitis" class="mw-redirect" title="Herpetic keratitis">herpetic</a></li> <li><a href="/wiki/Acanthamoeba_keratitis" title="Acanthamoeba keratitis">acanthamoebic</a></li> <li><a href="/wiki/Fungal_keratitis" title="Fungal keratitis">fungal</a></li> <li><a href="/wiki/Exposure_keratitis" class="mw-redirect" title="Exposure keratitis">Exposure</a></li> <li><a href="/wiki/Photokeratitis" title="Photokeratitis">Photokeratitis</a></li></ul></li> <li><a href="/wiki/Corneal_ulcer" title="Corneal ulcer">Corneal ulcer</a></li> <li><a href="/wiki/Thygeson%27s_superficial_punctate_keratopathy" title="Thygeson&#39;s superficial punctate keratopathy">Thygeson's superficial punctate keratopathy</a></li> <li><a href="/wiki/Corneal_dystrophy" title="Corneal dystrophy">Corneal dystrophy</a> <ul><li><a href="/wiki/Fuchs%27_dystrophy" title="Fuchs&#39; dystrophy">Fuchs'</a></li> <li><a href="/wiki/Meesmann_corneal_dystrophy" title="Meesmann corneal dystrophy">Meesmann</a></li></ul></li> <li><a href="/wiki/Corneal_ectatic_disorders" title="Corneal ectatic disorders">Corneal ectasia</a> <ul><li><a href="/wiki/Keratoconus" title="Keratoconus">Keratoconus</a></li> <li><a href="/wiki/Pellucid_marginal_degeneration" title="Pellucid marginal degeneration">Pellucid marginal degeneration</a></li> <li><a href="/wiki/Keratoglobus" title="Keratoglobus">Keratoglobus</a></li> <li><a href="/wiki/Terrien%27s_marginal_degeneration" title="Terrien&#39;s marginal degeneration">Terrien's marginal degeneration</a></li> <li><a href="/wiki/Post-LASIK_ectasia" title="Post-LASIK ectasia">Post-LASIK ectasia</a></li></ul></li> <li><a href="/wiki/Keratoconjunctivitis" title="Keratoconjunctivitis">Keratoconjunctivitis</a> <ul><li><a href="/wiki/Keratoconjunctivitis_sicca" class="mw-redirect" title="Keratoconjunctivitis sicca">sicca</a></li></ul></li> <li><a href="/wiki/Corneal_opacity" title="Corneal opacity">Corneal opacity</a></li> <li><a href="/wiki/Corneal_neovascularization" title="Corneal neovascularization">Corneal neovascularization</a></li> <li><a href="/wiki/Kayser%E2%80%93Fleischer_ring" title="Kayser–Fleischer ring">Kayser–Fleischer ring</a></li> <li><a href="/wiki/Haab%27s_striae" title="Haab&#39;s striae">Haab's striae</a></li> <li><a href="/wiki/Arcus_senilis" title="Arcus senilis">Arcus senilis</a></li> <li><a href="/wiki/Band_keratopathy" title="Band keratopathy">Band keratopathy</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Uvea" title="Uvea">Vascular tunic</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><div class="hlist"><ul><li><a href="/wiki/Iris_(anatomy)" title="Iris (anatomy)">Iris</a></li><li><a href="/wiki/Ciliary_body" title="Ciliary body">Ciliary body</a></li></ul></div></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Uveitis" title="Uveitis">Uveitis</a></li> <li><a href="/wiki/Intermediate_uveitis" title="Intermediate uveitis">Intermediate uveitis</a></li> <li><a href="/wiki/Hyphema" title="Hyphema">Hyphema</a></li> <li><a href="/wiki/Rubeosis_iridis" title="Rubeosis iridis">Rubeosis iridis</a></li> <li><a href="/wiki/Persistent_pupillary_membrane" title="Persistent pupillary membrane">Persistent pupillary membrane</a></li> <li><a href="/wiki/Iridodialysis" title="Iridodialysis">Iridodialysis</a></li> <li><a href="/wiki/Synechia_(eye)" title="Synechia (eye)">Synechia</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Choroid" title="Choroid">Choroid</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Choroideremia" title="Choroideremia">Choroideremia</a></li> <li><a href="/wiki/Choroiditis" class="mw-redirect" title="Choroiditis">Choroiditis</a> <ul><li><a href="/wiki/Chorioretinitis" title="Chorioretinitis">Chorioretinitis</a></li></ul></li> <li><a href="/wiki/Focal_choroidal_excavation" title="Focal choroidal excavation">Focal choroidal excavation</a></li> <li><a href="/wiki/Polypoidal_choroidal_vasculopathy" title="Polypoidal choroidal vasculopathy">Polypoidal choroidal vasculopathy</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Lens_(anatomy)" class="mw-redirect" title="Lens (anatomy)">Lens</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cataract" title="Cataract">Cataract</a> <ul><li><a href="/wiki/Congenital_cataract" title="Congenital cataract">Congenital cataract</a></li> <li><a href="/wiki/Childhood_cataract" title="Childhood cataract">Childhood cataract</a></li></ul></li> <li><a href="/wiki/Aphakia" title="Aphakia">Aphakia</a></li> <li><a href="/wiki/Ectopia_lentis" title="Ectopia lentis">Ectopia lentis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Retinal_disease" class="mw-redirect" title="Retinal disease">Retina</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Retinitis" title="Retinitis">Retinitis</a> <ul><li><a href="/wiki/Chorioretinitis" title="Chorioretinitis">Chorioretinitis</a></li> <li><a href="/wiki/Cytomegalovirus_retinitis" title="Cytomegalovirus retinitis">Cytomegalovirus retinitis</a></li></ul></li> <li><a href="/wiki/Retinal_detachment" title="Retinal detachment">Retinal detachment</a> <ul><li><a href="/wiki/Posterior_vitreous_detachment" title="Posterior vitreous detachment">Posterior vitreous detachment</a></li></ul></li> <li><a href="/wiki/Retinoschisis" title="Retinoschisis">Retinoschisis</a></li> <li><a href="/wiki/Ocular_ischemic_syndrome" title="Ocular ischemic syndrome">Ocular ischemic syndrome</a>&#160;/&#32;<a href="/wiki/Central_retinal_vein_occlusion" title="Central retinal vein occlusion">Central retinal vein occlusion</a></li> <li><a href="/wiki/Central_retinal_artery_occlusion" title="Central retinal artery occlusion">Central retinal artery occlusion</a></li> <li><a href="/wiki/Branch_retinal_artery_occlusion" title="Branch retinal artery occlusion">Branch retinal artery occlusion</a></li> <li><a href="/wiki/Retinopathy" title="Retinopathy">Retinopathy</a> <ul><li><a href="/wiki/Diabetic_retinopathy" title="Diabetic retinopathy">diabetic</a></li> <li><a href="/wiki/Hypertensive_retinopathy" title="Hypertensive retinopathy">hypertensive</a></li> <li><a href="/wiki/Purtscher%27s_retinopathy" title="Purtscher&#39;s retinopathy">Purtscher's</a></li> <li><a href="/wiki/Retinopathy_of_prematurity" title="Retinopathy of prematurity">of prematurity</a></li> <li><a href="/wiki/Bietti%27s_crystalline_dystrophy" title="Bietti&#39;s crystalline dystrophy">Bietti's crystalline dystrophy</a></li> <li><a href="/wiki/Coats%27_disease" title="Coats&#39; disease">Coats' disease</a></li> <li><a href="/wiki/Sickle_cell_retinopathy" title="Sickle cell retinopathy">Sickle cell</a></li> <li><a href="/wiki/Photic_retinopathy" title="Photic retinopathy">photic</a></li></ul></li> <li><a href="/wiki/Macular_degeneration" title="Macular degeneration">Macular degeneration</a></li> <li><a href="/wiki/Retinitis_pigmentosa" title="Retinitis pigmentosa">Retinitis pigmentosa</a></li> <li><a href="/wiki/Retinal_haemorrhage" title="Retinal haemorrhage">Retinal haemorrhage</a></li> <li><a href="/wiki/Central_serous_retinopathy" class="mw-redirect" title="Central serous retinopathy">Central serous retinopathy</a></li> <li><a href="/wiki/Macular_edema" title="Macular edema">Macular edema</a></li> <li><a href="/wiki/Epiretinal_membrane" title="Epiretinal membrane">Epiretinal membrane</a> (Macular pucker)</li> <li><a href="/wiki/Vitelliform_macular_dystrophy" title="Vitelliform macular dystrophy">Vitelliform macular dystrophy</a></li> <li><a href="/wiki/Leber%27s_congenital_amaurosis" class="mw-redirect" title="Leber&#39;s congenital amaurosis">Leber's congenital amaurosis</a></li> <li><a href="/wiki/Birdshot_chorioretinopathy" title="Birdshot chorioretinopathy">Birdshot chorioretinopathy</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Glaucoma" title="Glaucoma">Glaucoma</a>&#160;/&#32;<a href="/wiki/Ocular_hypertension" title="Ocular hypertension">Ocular hypertension</a>&#160;/&#32;<a href="/wiki/Primary_juvenile_glaucoma" title="Primary juvenile glaucoma">Primary juvenile glaucoma</a></li> <li><a href="/wiki/Floater" title="Floater">Floater</a></li> <li><a href="/wiki/Leber%27s_hereditary_optic_neuropathy" title="Leber&#39;s hereditary optic neuropathy">Leber's hereditary optic neuropathy</a></li> <li><a href="/wiki/Ocular_hypotony" title="Ocular hypotony">Ocular hypotony</a></li> <li><a href="/wiki/Red_eye_(medicine)" title="Red eye (medicine)">Red eye</a></li> <li><a href="/wiki/Globe_rupture" title="Globe rupture">Globe rupture</a></li> <li><a href="/wiki/Fungal_keratitis" title="Fungal keratitis">Keratomycosis</a></li> <li><a href="/wiki/Phthisis_bulbi" title="Phthisis bulbi">Phthisis bulbi</a></li> <li><a href="/wiki/Persistent_fetal_vasculature" title="Persistent fetal vasculature">Persistent fetal vasculature</a></li> <li><a href="/wiki/Persistent_tunica_vasculosa_lentis" title="Persistent tunica vasculosa lentis">Persistent tunica vasculosa lentis</a></li> <li><a href="/wiki/Familial_exudative_vitreoretinopathy" title="Familial exudative vitreoretinopathy">Familial exudative vitreoretinopathy</a></li> <li><a href="/wiki/Vogt-Koyanagi-Harada_disease" class="mw-redirect" title="Vogt-Koyanagi-Harada disease">Vogt-Koyanagi-Harada disease</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><td colspan="2" class="navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks mw-collapsible mw-collapsed navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><div id="Pathways" style="font-size:114%;margin:0 4em"><a href="/wiki/Visual_system" title="Visual system">Pathways</a></div></th></tr><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Optic_nerve" title="Optic nerve">Optic nerve</a><br /><a href="/wiki/Optic_disc" title="Optic disc">Optic disc</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a class="mw-selflink selflink">Optic neuritis</a> <ul><li><a href="/wiki/Optic_papillitis" title="Optic papillitis">optic papillitis</a></li></ul></li> <li><a href="/wiki/Papilledema" title="Papilledema">Papilledema</a> <ul><li><a href="/wiki/Foster_Kennedy_syndrome" title="Foster Kennedy syndrome">Foster Kennedy syndrome</a></li></ul></li> <li><a href="/wiki/Optic_atrophy" class="mw-redirect" title="Optic atrophy">Optic atrophy</a></li> <li><a href="/wiki/Optic_disc_drusen" title="Optic disc drusen">Optic disc drusen</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Optic_neuropathy" title="Optic neuropathy">Optic neuropathy</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Ischemic_optic_neuropathy" title="Ischemic optic neuropathy">Ischemic</a> <ul><li><a href="/wiki/Anterior_ischemic_optic_neuropathy" title="Anterior ischemic optic neuropathy">anterior&#160;(AION)</a></li> <li><a href="/wiki/Posterior_ischemic_optic_neuropathy" title="Posterior ischemic optic neuropathy">posterior&#160;(PION)</a></li> <li><a href="/wiki/Arteritic_anterior_ischemic_optic_neuropathy" title="Arteritic anterior ischemic optic neuropathy">arteritic anterior&#160;(AAION or arteritic AION)</a></li> <li><a href="/wiki/Non-arteritic_anterior_ischemic_optic_neuropathy" title="Non-arteritic anterior ischemic optic neuropathy">non-arteritic anterior&#160;(NAION)</a></li></ul></li> <li><a href="/wiki/Kjer%27s_optic_neuropathy" title="Kjer&#39;s optic neuropathy">Kjer's</a></li> <li><a href="/wiki/Leber%27s_hereditary_optic_neuropathy" title="Leber&#39;s hereditary optic neuropathy">Leber's hereditary</a></li> <li><a href="/wiki/Toxic_and_nutritional_optic_neuropathy" title="Toxic and nutritional optic neuropathy">Toxic and nutritional</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Strabismus" title="Strabismus">Strabismus</a><br /><a href="/wiki/Extraocular_muscles" title="Extraocular muscles">Extraocular muscles</a><br /><a href="/wiki/Binocular_vision" title="Binocular vision">Binocular vision</a><br /><a href="/wiki/Accommodation_(eye)" class="mw-redirect" title="Accommodation (eye)">Accommodation</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Paralytic_strabismus" scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Strabismus#Paralytic_strabismus" title="Strabismus">Paralytic strabismus</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Ophthalmoparesis" title="Ophthalmoparesis">Ophthalmoparesis</a></li> <li><a href="/wiki/Chronic_progressive_external_ophthalmoplegia" title="Chronic progressive external ophthalmoplegia">Chronic progressive external ophthalmoplegia</a></li> <li><a href="/wiki/Kearns%E2%80%93Sayre_syndrome" title="Kearns–Sayre syndrome">Kearns–Sayre syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Cranial_nerve_disease" title="Cranial nerve disease">palsies</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Oculomotor_nerve_palsy" title="Oculomotor nerve palsy">Oculomotor (III)</a></li> <li><a href="/wiki/Fourth_nerve_palsy" title="Fourth nerve palsy">Fourth-nerve (IV)</a></li> <li><a href="/wiki/Sixth_nerve_palsy" title="Sixth nerve palsy">Sixth-nerve (VI)</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Strabismus#Other_strabismus" title="Strabismus">Other strabismus</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Esotropia" title="Esotropia">Esotropia</a>&#160;/&#32;<a href="/wiki/Exotropia" title="Exotropia">Exotropia</a></li> <li><a href="/wiki/Hypertropia" title="Hypertropia">Hypertropia</a></li> <li><a href="/wiki/Heterophoria" title="Heterophoria">Heterophoria</a> <ul><li><a href="/wiki/Esophoria" title="Esophoria">Esophoria</a></li> <li><a href="/wiki/Exophoria" title="Exophoria">Exophoria</a></li></ul></li> <li><a href="/wiki/Cyclotropia" title="Cyclotropia">Cyclotropia</a></li> <li><a href="/wiki/Brown%27s_syndrome" title="Brown&#39;s syndrome">Brown's syndrome</a></li> <li><a href="/wiki/Duane_syndrome" title="Duane syndrome">Duane syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other binocular</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Conjugate_gaze_palsy" title="Conjugate gaze palsy">Conjugate gaze palsy</a></li> <li><a href="/wiki/Convergence_insufficiency" title="Convergence insufficiency">Convergence insufficiency</a></li> <li><a href="/wiki/Internuclear_ophthalmoplegia" title="Internuclear ophthalmoplegia">Internuclear ophthalmoplegia</a></li> <li><a href="/wiki/One_and_a_half_syndrome" title="One and a half syndrome">One and a half syndrome</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Refraction" title="Refraction">Refraction</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Refractive_error" title="Refractive error">Refractive error</a> <ul><li><a href="/wiki/Far-sightedness" class="mw-redirect" title="Far-sightedness">Hyperopia</a></li> <li><a href="/wiki/Near-sightedness" class="mw-redirect" title="Near-sightedness">Myopia</a></li></ul></li> <li><a href="/wiki/Astigmatism" title="Astigmatism">Astigmatism</a></li> <li><a href="/wiki/Anisometropia" title="Anisometropia">Anisometropia</a>&#160;/&#32;<a href="/wiki/Aniseikonia" title="Aniseikonia">Aniseikonia</a></li> <li><a href="/wiki/Presbyopia" title="Presbyopia">Presbyopia</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Vision_disorder" title="Vision disorder">Vision disorders</a><br /><a href="/wiki/Blindness" class="mw-redirect" title="Blindness">Blindness</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Amblyopia" title="Amblyopia">Amblyopia</a></li> <li><a href="/wiki/Leber%27s_congenital_amaurosis" class="mw-redirect" title="Leber&#39;s congenital amaurosis">Leber's congenital amaurosis</a></li> <li><a href="/wiki/Diplopia" title="Diplopia">Diplopia</a></li> <li><a href="/wiki/Scotoma" title="Scotoma">Scotoma</a></li> <li><a href="/wiki/Color_blindness" title="Color blindness">Color blindness</a> <ul><li><a href="/wiki/Achromatopsia" title="Achromatopsia">Achromatopsia</a></li> <li><a href="/wiki/Dichromacy" title="Dichromacy">Dichromacy</a></li> <li><a href="/wiki/Monochromacy" title="Monochromacy">Monochromacy</a></li></ul></li> <li><a href="/wiki/Nyctalopia" title="Nyctalopia">Nyctalopia</a> <ul><li><a href="/wiki/Oguchi_disease" title="Oguchi disease">Oguchi disease</a></li></ul></li> <li><a href="/wiki/Blindness" class="mw-redirect" title="Blindness">Blindness</a>&#160;/&#32;<a href="/wiki/Vision_loss" class="mw-redirect" title="Vision loss">Vision loss</a>&#160;/&#32;<a href="/wiki/Visual_impairment" title="Visual impairment">Visual impairment</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Anopsia" title="Anopsia">Anopsia</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hemianopsia" title="Hemianopsia">Hemianopsia</a> <ul><li><a href="/wiki/Binasal_hemianopsia" title="Binasal hemianopsia">binasal</a></li> <li><a href="/wiki/Bitemporal_hemianopsia" title="Bitemporal hemianopsia">bitemporal</a></li> <li><a href="/wiki/Homonymous_hemianopsia" title="Homonymous hemianopsia">homonymous</a></li></ul></li> <li><a href="/wiki/Quadrantanopia" title="Quadrantanopia">Quadrantanopia</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">subjective</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Asthenopia" class="mw-redirect" title="Asthenopia">Asthenopia</a></li> <li><a href="/wiki/Hemeralopia" title="Hemeralopia">Hemeralopia</a></li> <li><a href="/wiki/Photophobia" title="Photophobia">Photophobia</a></li> <li><a href="/wiki/Scintillating_scotoma" title="Scintillating scotoma">Scintillating scotoma</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Pupil" title="Pupil">Pupil</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Anisocoria" title="Anisocoria">Anisocoria</a></li> <li><a href="/wiki/Argyll_Robertson_pupil" title="Argyll Robertson pupil">Argyll Robertson pupil</a></li> <li><a href="/wiki/Marcus_Gunn_pupil" class="mw-redirect" title="Marcus Gunn pupil">Marcus Gunn pupil</a></li> <li><a href="/wiki/Adie_syndrome" title="Adie syndrome">Adie syndrome</a></li> <li><a href="/wiki/Miosis" title="Miosis">Miosis</a></li> <li><a href="/wiki/Mydriasis" title="Mydriasis">Mydriasis</a></li> <li><a href="/wiki/Cycloplegia" title="Cycloplegia">Cycloplegia</a></li> <li><a href="/wiki/Parinaud%27s_syndrome" title="Parinaud&#39;s syndrome">Parinaud's syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Nystagmus" title="Nystagmus">Nystagmus</a></li> <li><a href="/wiki/Childhood_blindness" title="Childhood blindness">Childhood blindness</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><td colspan="2" class="navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks mw-collapsible mw-collapsed navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><div id="Infections" style="font-size:114%;margin:0 4em"><a href="/wiki/Eye_disease" title="Eye disease">Infections</a></div></th></tr><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Trachoma" title="Trachoma">Trachoma</a></li> <li><a href="/wiki/Onchocerciasis" title="Onchocerciasis">Onchocerciasis</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Headache" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Headache" title="Template:Headache"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Headache" title="Template talk:Headache"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Headache" title="Special:EditPage/Template:Headache"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Headache" style="font-size:114%;margin:0 4em"><a href="/wiki/Headache" title="Headache">Headache</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#Primary_headaches" title="International Classification of Headache Disorders">Primary</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_1,_ICD10_G43:_Migraine" title="International Classification of Headache Disorders">ICHD 1</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Migraine" title="Migraine">Migraine</a> <ul><li><a href="/wiki/Familial_hemiplegic_migraine" title="Familial hemiplegic migraine">Familial hemiplegic</a></li></ul></li> <li><a href="/wiki/Retinal_migraine" title="Retinal migraine">Retinal migraine</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_2,_ICD10_G44.2:_Tension-type_headache_(TTH)" title="International Classification of Headache Disorders">ICHD 2</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Tension_headache" title="Tension headache">Tension</a> <ul><li><a href="/wiki/Mixed_tension_migraine" title="Mixed tension migraine">Mixed tension migraine</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_3,_ICD10_G44.0:_Cluster_headache_and_other_trigeminal_autonomic_cephalalgias" title="International Classification of Headache Disorders">ICHD 3</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cluster_headache" title="Cluster headache">Cluster</a></li> <li><a href="/wiki/Chronic_paroxysmal_hemicrania" title="Chronic paroxysmal hemicrania">Chronic paroxysmal hemicrania</a></li> <li><a href="/wiki/SUNCT_syndrome" title="SUNCT syndrome">SUNCT</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_4.2C_ICD10_G44.80:_Other_primary_headaches" title="International Classification of Headache Disorders">ICHD 4</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hemicrania_continua" title="Hemicrania continua">Hemicrania continua</a></li> <li><a href="/wiki/Thunderclap_headache" title="Thunderclap headache">Thunderclap headache</a></li> <li><a href="/wiki/Sexual_headache" title="Sexual headache">Sexual headache</a></li> <li><a href="/wiki/New_daily_persistent_headache" title="New daily persistent headache">New daily persistent headache</a></li> <li><a href="/wiki/Hypnic_headache" title="Hypnic headache">Hypnic headache</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#Secondary_headaches" title="International Classification of Headache Disorders">Secondary</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_5.2C_ICD10_G44.88:_Headache_attributed_to_head_and/or_neck_trauma" title="International Classification of Headache Disorders">ICHD 5</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Migralepsy" title="Migralepsy">Migralepsy</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_7.2C_ICD10_G44.82:_Headache_attributed_to_non-vascular_intracranial_disorder" title="International Classification of Headache Disorders">ICHD 7</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Ictal_headache" title="Ictal headache">Ictal headache</a></li> <li><a href="/wiki/Post-dural-puncture_headache" title="Post-dural-puncture headache">Post-dural-puncture headache</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_8.2C_ICD10_G44.4_or_G44.83:_Headache_attributed_to_a_substance_or_its_withdrawal" title="International Classification of Headache Disorders">ICHD 8</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hangover" title="Hangover">Hangover</a></li> <li><a href="/wiki/Medication_overuse_headache" title="Medication overuse headache">Medication overuse headache</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/International_Classification_of_Headache_Disorders#ICHD_13.2C_ICD10_G44.847.2C_G44.848.2C_or_G44.85:_Cranial_neuralgias_and_central_causes_of_facial_pain" title="International Classification of Headache Disorders">ICHD 13</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Trigeminal_neuralgia" title="Trigeminal neuralgia">Trigeminal neuralgia</a></li> <li><a href="/wiki/Occipital_neuralgia" title="Occipital neuralgia">Occipital neuralgia</a></li> <li><a href="/wiki/External_compression_headache" title="External compression headache">External compression headache</a></li> <li><a href="/wiki/Cold-stimulus_headache" title="Cold-stimulus headache">Cold-stimulus headache</a></li> <li><a class="mw-selflink selflink">Optic neuritis</a></li> <li><a href="/wiki/Postherpetic_neuralgia" title="Postherpetic neuralgia">Postherpetic neuralgia</a></li> <li><a href="/wiki/Tolosa%E2%80%93Hunt_syndrome" title="Tolosa–Hunt syndrome">Tolosa–Hunt syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Eye_strain" title="Eye strain">Eye strain</a></li> <li><a href="/wiki/Orthostatic_headache" title="Orthostatic headache">Orthostatic</a></li> <li><a href="/wiki/Vascular_headache" title="Vascular headache">Vascular</a></li></ul> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"><style data-mw-deduplicate="TemplateStyles:r1038841319">.mw-parser-output .tooltip-dotted{border-bottom:1px dotted;cursor:help}</style></div><div role="navigation" class="navbox authority-control" 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