• Users Online: 384
  • Print this page
  • Email this page
Year : 2012  |  Volume : 2  |  Issue : 2  |  Page : 68-72

Chiasmal optic neuritis: A report of three cases

1 Department of Ophthalmology, Taipei Veterans General Hospital, Taipei 11217, Taiwan
2 Department of Ophthalmology, Taipei Veterans General Hospital; School of Medicine, National Yang-Ming University; Institute of Neuroscience, National Yang-Ming University, Taiwan
3 Department of Ophthalmology, Taipei Veterans General Hospital; School of Medicine, National Yang-Ming University, Taipei 11217, Taiwan

Correspondence Address:
May-Yung Yen
Department of Ophthalmology, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Taipei 11217
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.1016/j.tjo.2011.12.002

Rights and Permissions

Chiasmal optic neuritis (ON), a rare condition that affects the optic chiasm, is mostly associated with inflammatory demyelinating disorders and may be the initial manifestation of multiple sclerosis (MS). Here, we reported three cases of MS with chiasmal optic neuritis. The clinical manifestations, neuro-imaging results, and visual prognosis were evaluated in each patient. Routine eye examinations and auxiliary examinations, including Ishihara color plate, determination of the visual field (VF), and magnetic resonance imaging (MRI) of the optic nerve and chiasm, were performed. All patients presented with reduced VA and VF defects. The abnormal enhancement of the optic chiasm was clearly demonstrated on MRI. Two patients recovered after the systemic administration of steroids, but the other patient only partially recovered. In conclusion, although it is rare, chiasmal ON should be considered in patients who develop bitemporal hemianopia. MRI is the modality of choice for accurate diagnosis. Early diagnosis and proper treatment are mandatory for the restoration of restore visual function.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded66    
    Comments [Add]    
    Cited by others 5    

Recommend this journal