Give IVI regimen. Certain inflammatory conditions will respond to steroids - sarcoid, Grave's, Wegener's, pseudo tumour, lymphoma. Childhood optic neuritis - is often bilateral, with a macular star, postulated to be an autoimmune condition following viral illness with CNS involvement. Steroids could be considered for bilateral severe cases, only eye, etc. Infective HIV neuropathy Usually occurs in a setting of a low CD 4 count with opportunistic infections.
Serology can be equivocal.
Can present as papillitis, Retro bulbar optic neuritis, optic perineuritis, neuroretinitis. However, Crypto coccus has been isolated from choroidal tissue and is postulated to cause optic neuritis by direct invasion. It has been postulated that HIV can invade the optic nerve. Thought to be due to HIV interaction with other viruses or perhaps an autoimmune process. Can present with optic neuritis, preceding CNS lymphoma in a setting of a low CD 4 count.