1. IV and Oral Corticosteroids
A course of treatment with methylprednisolone or prednisone (or other effective corticosteroids) can reduce the likelihood of developing full-fledged multiple sclerosis (MS) symptoms and lead to a decreased likelihood of future optic neuritis attacks. Typically, the physician prescribes intravenous steroids first and then weans the patient to oral steroids. Complications from this therapy can occur, so disclose your complete medical history to the prescribing physician to avoid contraindicated side effects.
2. Extreme Therapies for Severe Cases
Both plasma exchange therapy and cutting the myelin sheath around the optic nerve have been shown to reduce symptoms in severe optic neuritis sufferers. That said, these more advanced therapies carry additional risks. Plasma exchange therapy is usually only employed in severe cases in which corticosteroid treatment provides no relief. Cutting the sheath of the optic nerve can damage the brain and other optic structures.
3. Identify the Root Cause and Treat That
For nearly a quarter of multiple sclerosis patients, optic neuritis is the first sign of trouble. If you are subsequently diagnosed with MS, your treatment for the disease can help to reduce the frequency of optic neuritis outbreaks and lessen the severity of those attacks when they do occur.
Optic neuritis can also be a consequence of inflammation of the arteries in the cranium, diabetes, infections like hepatitis B and syphilis, drug therapy and radiation exposure. By treating these root conditions, you may ultimately treat the optic neuritis. For instance, if your diabetes is causing the optic neuritis, a course of treatment for diabetes--carb control and improving insulin regulation through drug therapies--can hopefully remedy the problem.
4. Let Time Pass
Although optic neuritis can persist for years or even a lifetime in certain individuals, symptoms often go away on their own within a few weeks to 6 months after the initial episode. Don't assume that the condition will manage itself, however. If you experience any symptoms that could possibly indicate optic neuritis, go to a qualified ophthalmologist for immediate evaluation.
