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Is It Possible To Cure Retrobulbar Neuritis Completely With Rifamcin And Ofloxacin?
Question: I have spoken to you already:-
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=163920
I am speaking about my mother who is aged 54 years. Last XXXXXXX 2014 she was diagnosed with Extra-pulmonary TB due to enlargement of Left armpit lymphnodes. Her fever started from 12th May 2014. She was diagnosed on 23/6/2014. She was also complaining about severe headache. Tests were carried out and TB Meningitis was proved. She started with the first line of drugs consisting of
Isoniazid-300mg
Rifampicin-450mg
Pyrazinamide
Ethambuto-1000mg
She continued Ethambutol till November 2014 when suddenly she complained of blurriness and also Green Colour blindness(to slight extent) and was diagnosed Retrobulbar Neuritis. Ethambutol was discontinued at once followed by Isoniazid within one week. MRI was carried out which confirmed the same but of very low intensity.
Right now the colour issue has disappeared but still she is suffering from blurry vision. Her eye is perfect and fundus of eye is perfect as confirmed by two ophthalmologists.
Is there any chance she can get her clear vision back? She is suffering from diabetes mellitus but it almost remains close to the normal level. Right now she is only having rifamcin and ofloxacin. All other medicines are stopped.
Her eyesight has improved only 25% maybe after 4 months. Is it normal?
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=163920
I am speaking about my mother who is aged 54 years. Last XXXXXXX 2014 she was diagnosed with Extra-pulmonary TB due to enlargement of Left armpit lymphnodes. Her fever started from 12th May 2014. She was diagnosed on 23/6/2014. She was also complaining about severe headache. Tests were carried out and TB Meningitis was proved. She started with the first line of drugs consisting of
Isoniazid-300mg
Rifampicin-450mg
Pyrazinamide
Ethambuto-1000mg
She continued Ethambutol till November 2014 when suddenly she complained of blurriness and also Green Colour blindness(to slight extent) and was diagnosed Retrobulbar Neuritis. Ethambutol was discontinued at once followed by Isoniazid within one week. MRI was carried out which confirmed the same but of very low intensity.
Right now the colour issue has disappeared but still she is suffering from blurry vision. Her eye is perfect and fundus of eye is perfect as confirmed by two ophthalmologists.
Is there any chance she can get her clear vision back? She is suffering from diabetes mellitus but it almost remains close to the normal level. Right now she is only having rifamcin and ofloxacin. All other medicines are stopped.
Her eyesight has improved only 25% maybe after 4 months. Is it normal?
Brief Answer:
Her eye sight is showing improvement and it will improve further.
Detailed Answer:
Hello
Welcome to Health care magic
I reviewed your history and the previous question you had asked to me.
It is good that her vision is improving.
Since fundus examination is normal and there are no signs of optic atrophy, her vision will improve.
It usually takes upto 6 months for complete improvement.
More than 90% of people will show upto 75% or more of improvement in vision.
Hence I am expecting further improvement in another 2-3months.
Hope this answers your question and this information is helpful to you.
Do write back to me for further questions.
Thank you
Her eye sight is showing improvement and it will improve further.
Detailed Answer:
Hello
Welcome to Health care magic
I reviewed your history and the previous question you had asked to me.
It is good that her vision is improving.
Since fundus examination is normal and there are no signs of optic atrophy, her vision will improve.
It usually takes upto 6 months for complete improvement.
More than 90% of people will show upto 75% or more of improvement in vision.
Hence I am expecting further improvement in another 2-3months.
Hope this answers your question and this information is helpful to you.
Do write back to me for further questions.
Thank you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor,
Thanks for your answer.
Is there possibility of total vision improvement? You said 75% improvement is only possible.
Her sugar level is totally under control.
Thanks and Regards,
XXXX XXXXXXX
Thanks for your answer.
Is there possibility of total vision improvement? You said 75% improvement is only possible.
Her sugar level is totally under control.
Thanks and Regards,
XXXX XXXXXXX
Brief Answer:
Some amount of vision impairment usually remains.
Detailed Answer:
Hello
Thank you for the follow up question.
Usually following an episode of retrobulbar neuritis complete vision improvement is uncommon as an episode will damage few optic nerve fibres.
Hence complete vision improvement is usually not guaranteed.
But most of the people will have at least an improvement of 75% or more and sometimes upto 90%.
Hope this answers your question and this information is helpful to you.
Do write back to me for further questions.
Thank you
Some amount of vision impairment usually remains.
Detailed Answer:
Hello
Thank you for the follow up question.
Usually following an episode of retrobulbar neuritis complete vision improvement is uncommon as an episode will damage few optic nerve fibres.
Hence complete vision improvement is usually not guaranteed.
But most of the people will have at least an improvement of 75% or more and sometimes upto 90%.
Hope this answers your question and this information is helpful to you.
Do write back to me for further questions.
Thank you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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