Characteristics of Pediatric Optic Neuritis Diagnosed at National Eye Centre Cicendo Eye Hospital
DOI:
https://doi.org/10.11594/ojkmi.v8i1.97Keywords:
pediatric, optic neuritis, characteristicAbstract
Introduction: Optic neuritis is an inflammatory condition of the optic nerve characterized by decreased visual acuity, visual field defects, dyschromatopsia, periorbital pain, relative afferent pupillary defect may also be present. Despite its rarity in children, optic neuritis poses a significant risk to vision and overall neurological health. Therefore, understanding the characteristics of pediatric optic neuritis is essential for diagnosis, management, prevention, and research development.
Methods: This descriptive retrospective study was done at National Eye Center. The data were obtained from medical records spanning the period from January 2021 to December 2023. Include age, sex, socioeconomic, domicile, laterality, visual acuity, color vision, visual field, and etiology.
Results: There were 30 pediatric patients, with a total of 53 eyes affected. Sociodemographic characteristics, majority patients were girls (60%) aged between 5-11 years (56.7%), using BPJS (70%), resided in Bandung Kota (20%). Clinical characteristics, most cases involved bilateral (76.7%), visual acuity <1/60-HM (43.4%), color vision was unmeasurable (52.8%), visual field was unassessable (41.5%), and the most common etiology was idiopathic (53.3%).
Conclusion: The findings highlight the majority of patients were girls aged 5-11 years with moderate visual impairment, color vision and visual field was unassessable, and the most common etiology was idiopathic.
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References
Cantor LB, Rapuano CJ, Cioffi GA. The patient with decreased vision: classification and management. In: Neuro-ophthalmology. Basic and Clinical Science Course (BCSC). San Francisco: American Academy of Ophthalmology; 2019–2020.
Trobe JD. The neurology of vision. New York: Oxford University Press; 2001. p. 106, 207–214.
Optic Neuritis Study Group. Visual function 5 years after optic neuritis: experience of the Optic Neuritis Treatment Trial. Arch Ophthalmol. 2015;123:1545–52.
Hoorbakht H, Bagherkashi F. Optic neuritis, its differential diagnosis and management. Open Ophthalmol J. 2012;6:65–72.
Soelberg K, Jarius S, Skejoe HPB, Engberg H, Mehlsen JJ, Nilsson AC, et al. A population-based prospective study of optic neuritis. Mult Scler J. 2017;23(14):1893–901.
Guer CP. Optic neuritis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
American Academy of Ophthalmology. Neuro-ophthalmology. Section 5. San Francisco: American Academy of Ophthalmology; 2016–2017. p. 119.
Zhou H, Wang W, Xu Q, Tan S, Zhao S, Yang M, et al. Clinical features and visual outcomes of optic neuritis in Chinese children. Int J Ophthalmol. 2016;9(6):852–6.
Rinjani NP, Putrawati AA, Manuaba IB. Characteristics and response to methylprednisolone and prednisone treatment of optic neuritis patients at Sanglah General Hospital Denpasar. Bali Med J. 2012;1(2):48–51.
Prasad S, Galetta SL. Approach to the patient with acute monocular visual loss. Neurol Clin Pract. 2012;2(1):14–23.
Nytrova P, Dolezal O. Sex bias in multiple sclerosis and neuromyelitis optica spectrum disorders: how it influences clinical course, MRI parameters and prognosis. Front Immunol. 2022;13:933415.
Osborne B, Balcer LJ. Optic neuritis: pathophysiology, clinical features, and diagnosis. UpToDate [Internet]. 2015 [cited 2025 May 8]. Available from: https://www.uptodate.com/contents/optic-neuritis-pathophysiology-clinical-features-and-diagnosis
Kemp PS, Winges KM, Wall M. Optic neuritis [Internet]. EyeRounds.org. 2012 [cited 2025 May 8]. Available from: https://www.eyerounds.org/cases/159-optic-neuritis.htm
Moradian S, Ahmadieh H. Early onset optic neuritis following measles-rubella vaccination. J Ophthalmic Vis Res. 2008;3(2):118–22.
Francisco PB, Lorena GV, Nestor AV, Gabriel AV, Enrique SB, et al. Diagnostic approach to optic neuritis. J Neurol Neurophysiol. 2015;6(6):1–3.
Toosy AT, Mason DF, Miller DH. Optic neuritis. Lancet Neurol. 2014;13(1):83–99.
Voss EP, Raab C, Trebst M, Stangel M. Clinical approach to optic neuritis: pitfalls, red flags and differential diagnosis. Ther Adv Neurol Disord. 2011;4(2):123–34.
Kale N. Optic neuritis as an early sign of multiple sclerosis. Eye Brain. 2016;8:195–202.
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