treatment for optic neuropathy

Last reviewed 01/2018

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