Table 1.
Symptoms and examination findings
| Pt | Sex | Age | Eye | Previous or current medication | PPVAL | ONSS | Brain MRI | History of migraine | Previous diagnosis | Quality of pain | Time course of pain | BCVA in affected eye on presentation |
Final BCVA | Ishihara test presentation – final visit | RAPD | Therapy | Improvement with cycloplegic drops |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | F | 18 | OD | None | Yes | None | Normal | No | Retrobulbar ON | Throbbing | 6–8 hours per day, 2–4 days per week | 6/18 | 6/6 | 5/12 – 12/12 | No | amitriptyline | Not given |
| 2 | M | 25 | OD | None | Yes | Nausea | Normal | Yes | Retrobulbar ON | Throbbing | 12 hours, 1–2 days per week | 6/36 | 6/6 | 2/12 – 12/12 | No | amitriptyline | Not given |
| 3 | F | 19 | OS | NSAIDs | Yes | Malaise and headache | Normal | No | Retrobulbar ON | Throbbing | 1–2 hours, 1 day per week | 6/9 | 6/6 | 5/12 – 12/12 | No | NSAIDs | Yes |
| 4 | F | 45 | OD | NSAIDs | Yes | None | Normal | NO | Retrobulbar ON | Sharp | Constant, 2–5 days per week | CF | 6/6 | TP – 12/12 | No | NSAIDs | Yes |
BCVA = Best corrected visual acuity; MRI = Magnetic resonance imaging; NSAIDs = Non-steroidal anti-inflammatory drugs, OD = Right eye; ON = Optic neuritis; ONSS = Other neurological or systemic symptoms; OS = Left eye; PPVAL = Photophobia, pain and visual acuity loss; Pt = Patient; RAPD = relative afferent pupil defect; TP = Test plate.