Pseudoneuritis Optic

Pseudoneuritis is a condition that resembles retrobulbar neuritis but is not associated with inflammation. The most common reason for the development of this condition is a violation of the patency of the blood vessels of the optic nerve (ischemic optic neuropathy).

With visual pseudoneuritis, there is a rapid decrease in vision, the occurrence of scotoma and visual field defects. However, unlike true neuritis, with pseudoneuritis there are no signs of inflammation of the optic nerve.

Diagnosis of optic pseudoneuritis is based on ophthalmoscopy, perimetry, as well as examination of the fundus and visual evoked potentials.

Treatment of pseudoneuritis is aimed at eliminating the causes of optic nerve ischemia. These can be vascular and endocrine diseases. Measures to improve blood circulation and metabolism in the tissues of the eye and optic nerve are also important. The prognosis for optic pseudoneuritis varies from complete restoration of vision to permanent blindness.

Greetings! Today in our article we will consider such a concept as optic pseudoneuritis. In Western medicine, there is another name - pseudoneuritis of the optic nerve. This condition resembles retrobulbmar inflammation of the optic nerve, but its etiology is quite unique. Pseudoneuritis is considered an independent disease that is not directly related to the inflammatory process. The prevalence of optic neuritis rarely exceeds 4% of cases, while this disease affects women more often than men (6:4), and in retrochorial or perforated labor it is observed in 2% of patients. The incidence peaks

Pseudoneuritis of the optic nerve is a symptom complex that can be confused with retrobulbar neuritis. But at the same time, “pseudoneuritis” means those circulatory disorders that are not associated with the pathology of the meningeal membranes. In other words, unlike neuritis, pseudoneuritis of this type gives the clinical picture of a retrobulbar neuralgic lesion, and it is based on embolism or compression of the veins. In addition, there is atrophic pseudoneuritis and tumor-like pseudoneuritis.

Impaired patency of the nervous system of the optic nerve, resulting from pathological processes in the central neurovascular apparatus of the visual analyzer.

The disease can occur in both young and elderly people, but usually the first type of pseudoneuritis is observed in people after 50–60 years of age 3.