retro.bulbular optic neuritis

[hossam2010]

kindly see herunder the history of eye proplem for your kind help:


History: 2 month ago, i felt an ache on my right eye with headache for 2 to 3 days then i took an analgesic to relieve the headache, but still i felt a pressure on eye ( ach on the eye ball specially during movement) after 3 days of that, i suddenly realized that my right eye vision is blurring and i couldn't see the near or the far things clearly, so i went directly to the ophthalmologist, he checked for my eye and ask for florescence ray on the right eye( it has shown a normal angiogram), he checked and said that the retina is good and may be there is a retrobulbular optic neuritis !! or MS ( Multiblescelerosis) so he asked me to make MRI on both brain and orbit ( both are normal and dosn't show any abnormalities ) , i made too a visual field test which showed abnormalities in the right eye vision.

Another consultation : after they saw the MRI, he said the MRI is good and didn't show abnormalities or lesions, the diagnosis also was towards retrobulbular neuritis( by exclusion)
i admitted to the hospital for 3 days (after 4 days of the problem) to get IV infusion by solu-medrol 1000mg / day then followed by 12 days of hight dose predinesolone (80mg/ day for 3 day then 60mg/ day for 3 day , then 40 mg/ day for 3 day then 20 mg /day another 3 days) I finished the steroids treatment after two week.....NO IMPROVEMENT AT MY RIGHT EYE.

I made a VEP test which show marked delay in the latency and magnitude of my right eye signals which supported the diagnosis of RBON

I got another consultation by 2 consultant neurologist and they wanted to know the cause of RBON by making a Lumber puncture ( spinal tap ) – MRI BY STAIN ON SPINAL CORD – ANA TEST, the result of all these tests was NORMAL

Now I feel eye pain, headache above the eye, the vision deteriorate after warm shower or due to hot weather, my visual acuity still ( 6/18) with blurry vision and poor contrast.( I can’t read)

The doctor said WE HAVE NO ANOTHER OPTION,,JUST follow up next month!!


KINDLY I NEED YOUR SUPPORT TO KNOW:

Could the MS in early stages causes RBON without appearing in the MRI or if lumber puncture showed Normal result of presence of oligoclonal-band? ( please note that I haven’t any symptoms suggestive for MS except RBON).

What is the prognosis of my case if no improvement after 2 months and what I should do?

thank you in advance

hossam

[faeyeglasses]

Cooperate with medical treatment, remove all the bad behavior of the eye.