san francisco bay area
do you have any suggestions?
which is the best?
is the optic neuritis related to the diabetes?
Is there an eye clinic in us that specializes in optic neuritis?
UCSF is a well respected place with a good ophthalmology department.
Dr. Hoyt is there. Not sure if he actively seeing patients, but he wrote the textbook in neuro-ophthalmology
the doctors were quick to say that it was but the onset was loss of vision over night. they tested for cat scratch, toxo neg did a spinal (2mos later) neg cultures bacterial and viral. at this point the rt was recovering but the left optic nerve showed swelling. we have see a opthalmologist /neurologist, neurolgist, retinal specialist etc. she has had four laser procedures to stop micro bleeds. the weirdness of this is her eyes were fine last year. the pictures showed just a few red dots and the optice nerves were clean visually. my daughter has seenthe same opthamologist since she was ten. she is veryfamiliar with my daughters eyes . this is really scary . she just had a PSVEP and it was abn in both eyes .
It sounds like a difficult diagnostic dilemma.
The testing she's had is right on and extensive.
It is always good to get a second opinion.
yes it is. the easy answer is diabetes, but she is never easy, forgot to mention that she has a pituitary adenoma ( its shrinking )
The adenoma can cause an optic neuropathy as well.
I'm sure she's had a MRI of the brain and orbits already.
It can? is there atreatment?
Depends on what the adenoma is composed of. The most common is a prolactin secreting adenoma and can be treated with a medicine called bromocriptine.
Yes she has had several over the past 8 years , the most recent showed no evidence of MS lesions, and the tumor is shrinking
It can also be treated surgically.
she had been on dostinex for 8+ years. just recently was told to stop taking it
It is less than 10mm
Good. Less than 10mm is classified as a microadenoma.
Certainly, a neuro-ophthalmologist is the best doctor to try to tie everything together.
thanks so much .any other reccomendations?
None other. I wish her the best.
would steroids be helpful?
Since it is 6 months out already, may be less effective. Typical optic neuritis usually gets better by it self in 1-2 months.
The steroids may complicate her diabetes management as well.
thank you and good night dr james