Optic Neuritis & Demyelinating Disease — Practice
A 30-year-old woman presents with sudden painless loss of vision in one eye and pain on eye movement. Fundus appears normal. A relative afferent pupillary defect is present and colour vision is reduced out of proportion to acuity. According to the Optic Neuritis Treatment Trial, what is the recommended initial treatment?
ANo treatment, observation only
BOral prednisolone 1 mg/kg/day
CPlasma exchange
DIntravenous methylprednisolone followed by oral taper