Optic Nerve

Giant cell arteritis (GCA)

• Management
  • See giant cell arteritis guideline - http://www.acutegpcornwall.com/giant-celltemporal-arteritis
• Where to refer
  • If significant ophthalmic signs refer to Eye Casualty.
  • If ophthalmic signs with reduced visual acuity, or diplopia refer Eye casualty.
  • If no ophthalmic symptoms please contact on-call rheumatology registrar or consultant via switchboard.

Diagnosis will be confirmed and treatment initiated for later monitoring by GP when eye stable

 

 

Anterior non-ischaemic optic neuropathy (AION)

• Management
  • Check atherosclerotic risk factors
• When to refer
  • If acute loss of vision refer eye casualty to exclude giant cell arteritis

 

Optic neuritis

• Where to refer
  • If acute loss of vision refer casualty for diagnosis
  • If variable vision – routine clinic

Date reviewed                     07/08/2019

Next review due                  07/08/2020

Sifter name                         Dr Rebecca Harling

Contributor                   Mr William Westlake

 

 

Version No. 2.20