35 year-old woman presented with unilateral worsening of vision of left eye, accompany by discomfort of eye movement for two weeks duration
Visual acuity of left eye is 6/60.
Impaired color vision.
There is left afferent pupillary defect and a central scotoma
What is the likely diagnosis
A. Optic Nerve Glioma
B. Cavernosus Sinus thrombosis
C. Grave’s disease
D. Pituitary Adenoma
E. Optic Neuritis
Image of swollen optic disc.
What is the most common cause for the optic neuritis?
Multiple sclerosis. Long term studies indicated that up to 75% of female patient initially developed optic neuritis ultimately developed MS.