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Treatment for optic neuropathy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Seek expert advice.

Medical treatment is with high dose steroids. 65% of patients with optic neuropathy will respond initially, though relapse is common after treatment.

Orbital radiation may also be used with concurrent steroids. Response occurs after 2-3 weeks and is maximal after 6-12 months.

Surgery may also be used to decompress the optic nerve, and similarly to protect the cornea, correct ocular muscle alignment and restore appearance of the eye.

Reference:

  • Lancet 2001; 357 (9270): 1793-6.
  • El-Kaissi S et al. Thyroid-associated ophthalmopathy: a practical guide to classification, natural history and management. Int Med Journal 2004; 34(8):482-491

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