AllyB wrote:Hi Eyedoc
Thanks so much - everyone has been so supportive, but this is the kind of direct advice that stops me from dithering - I am a bit of a ditherer - hate to appear a hyperchondriac!
I still have pain when I move my rt eye and my vision is more blurred, although I don't think I have lost vision. This has been for about 2 weeks now...
We have a long 4 day weekend now for Easter - I will make app with Opthalmologist on Tues when everything opens up again - hopefully he will see me soon - I know him quite well and he is a really nice guy, so I think he will. I was just so hesitant to second guess my Neuro as I wasn't sure how this was diagnosed, he seemed satisfied at the end of the exam, and it doesn't seem too bad.
Is On treated with IV steroids like other ms attacks, or is there drops for the affected eye, or other medication? I guess I am actually asking what the treatment would be if it is ON, and how effective is the treatment, in general?
Thanks once again for your time - it is much appreciated.
Generally, ON will be treated with IV Solumedrol, a steroid. The usual dosage is given over an hour, once daily for 3 days. This can be done in the hospital or at home through home healthcare. Last time I had ON (I have had it twice) I received the treatment at home on 3 consecutive nights. Also, you will generally be given an oral steroid to take for a couple of weeks and possibly longer depending on how well you are responding to the treatment.
There are no steroid drops for the eyes that can treat ON. The optic nerve is in the back of the eye and the only way to get steroids there is through IV and oral medications.
The treatment is very effective. Of course, it does nothing for the underlying MS, but it is wonderful in stopping the inflammation that is affecting the nerve.
I know it really stinks to have your vision affected, but with treatment in the vast majority of cases your vision will return to "normal" (is there such a thing with MS?).
I apologise for rambling, but one last thought...repeated ON attacks to our nerves due to MS over time can cause a weakening of the nerve and permanent vision loss. There are several here in this web community that can attest to that. Early intervention on the inflammation of the nerve is very important to lessen this affect over time, in my opinion. Never be ashamed of going to the eye doctor at the first sign of trouble!