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Child Diagnosed With Paresis Of The Optic Nerve. What Kind Of Treatment Can You Advise?

Posted on Mon, 22 Jul 2013

Question: hi. Neurophasist diagnosed that my 4 year daughter has a paresis of the optic nerve. What kind of treatment can you advise?

Answered by Dr. Sandhya Manorenj (36 minutes later)

Hi,

Thank you for writing in.I understand your concern

From your query I learn that your child had recent atopic dermatititis, followed by paresis of optic nerve ( optic neuropathy) probably acute onset one.

Usually at this age most common cause is optic neuritis, which can be unilateral or bilateral.This has to be confirmed by clinical examination, fundus examiantion and also evalution .

MRI brain with orbit cuts helps to know the cause of optic neuritis and to rule out local pathology

Optic neuritis, shows respond to short course of high dose intravenous methylprednisolone , along with antacids and nerve regenerating medicine

Hope this answers your query.

Please get back if you require additional information

Wish your baby speedy recovery and good health.

Regards
Dr Sandhya Manorenj
Neurologist
Hi Tech city, Hyderabad India

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sandhya Manorenj (24 hours later)

hi! thank you for your answer! How do you think, could be optic neurophaty as result of side effect of medicini which she drank during the treattment of atopic dermatitis?? If required, I can send you list of this medicine
thanks in advance

Answered by Dr. Sandhya Manorenj (13 hours later)

Hi,

In Atopic dermatitis most of the medicines used are for topical application (like steroids and other immunomodulator drugs) which is unlikely to produce optic nerve involvement.
Also they can prescribe antiallergy medicine which also does not have such complication.

You may send the medicine list to help you better.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar