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Old 08-24-2009, 11:14 AM #1
momzpeachy momzpeachy is offline
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Default Finding MS in the eyes - can it be possible?

Hi everyone
I am back on this site after a long break due to many medical issues I had going on. Originally I was diagnosed with TOS - Thoracic Outlet Syndrome. I had a very rough time with that. I had surgery in January 2008 for it. I then had thoracic spine surgery 5 months later due to 2 herniated discs causing spinal cord compression. It was a rough year. I have seen so many Dr's and so many have mentioned and MS. They kept taking blood and testing but nothing showed. I also had several brain MRI's and it was negative for MS is what they have said. I have been exhibiting many many symptoms of MS. I also have CRPS/RSD. I do have the burning pain and most of the symptoms that go along with that. I have terrible burning pain 24/7 plus changes in color of my skin. I hate this redness I have everywhere. Especially on my face and upper chest. I have so many things going on and the Dr's keep saying I'm such a difficult case. I also started having eye trouble. I was getting pain in the right eye, headaches, blurry vision and sudden loss of vision along with naseau. FOr a few days it was so painful to look left, right or up and down. i could only look straight. Lights bothered me and I could barely make out objects. It has gotten a little better but I can tell my right eye is really bad. I have lost color vision in the right. I saw a neuro opthamologist. On the color test, I got 2 out of 8 correct for the right eye and 8 out of 8 on the left. My vision changes frequently. It just changed again for the worse after being checked just in April. I have 3 pairs of glasses now. I never know which will work best.

The Doctor's don't feel this eye problem is related to the TOS and RSD. They think it's something else. I had and OCT test done and it showed optic neuropathy. My neurologist called last week and told me that they found that I have optic nerve damage and now they have to look further. I need more tests. They are looking for something. My PT said it sounds like a autoimmune or MS diagnosis is in the works.

Can MS start in the eyes? With all my bloodwork, MRI's and a spinal tap being negative for MS, can I still possibly have it or starting to have it? I was reading some info on line that the optic nerves can be the first sign. Can lesions start there and they just haven't found them yet? Has anyone been diagnosed with MS from an eye specialist? I am wondering if I have MS and not RSD or do I have both. They seem to be very similar diseases.

They feel as though something else is going on and been missed. I have trouble with my legs and spasticity now. My muscles get so tight. I have trouble walking at times. My knees even give out at times. Sunday was awful and I just couldn't walk right. I was leaning. My gait is way off. I'm a mess. I was just wondering if anyone could give some insight to this.

THANKS!
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Old 08-24-2009, 12:06 PM #2
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Many times, MS is found by an Opthomoligist. Optic neoritis is often the onset of MS, even with clear MRIs.

Welcome back Momz..
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Old 08-24-2009, 12:44 PM #3
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There are two sides to this, I'd recommend reading both and seeing what you think.

Francis, Delicia et al. 1987 A reassessment of the risk of multiple sclerosis developing in patients with optic neuritis after extended follow-up

- and -

Miller, David et al. 1988 The early risk of multiple sclerosis after optic neuritis

Here's a newer one, but I could only find the abstract.

Beck, Randy et al. 2003 (abstract only)High- and low-risk profiles for the development of multiple sclerosis within 10 years after optic neuritis: experience of the optic neuritis treatment trial

Years ago, Kim had an episode where she completely lost her vision for a few days. This scared her big time. It was only one instance, but certainly a significant one. Ken
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Old 08-24-2009, 01:04 PM #4
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Except for some numbness I had that began in April of 2006 (which a quack Physician's assistant told me was a sprain! she also misdiagnosed mononucleosis 10yrs earlier), my first MS symptom was optic neuritis in August of 2006. Giant blind spot obscured 2/3rds of my vision in the left eye for several months and my color vision was fubar for most of a year. I didnt have any treatment or steroids for that then.

My vision is now back to near normal of what it was before I had optic neuritis. I had another exacerbation in june and july of this year. Diplopia (double vision) I couldnt stand the vertigo that the double vision was giving me, and the double vision was so...irritating to me that I begged for IV steroids. My vision is again back to near normal now, a month after steroids, but it's really easy to trigger the double vision to come back. (fluorescent lights, large crowds, and heat seem to set it off fairly easily)

I'm also getting vertigo fairly easily still and do occasionally wake up to being spun around by the vertigo. At least the double vision for the most part has gone away. It's not constant anymore.

One plus to the steroids, I think it helped the residual problems I had from the optic neuritis I had in 2006. Some colors (greens and blues) look a LOT better to me than they did earlier this year. It does seem like I have to strain my vision to read at distances that I could read easily earlier this year tho.

Bad side to the steroids, I have really horrible insomnia lately. But, at least I can see now and I'm not walking into walls and doorways and tripping over things.
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Old 08-24-2009, 01:40 PM #5
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my first diagnosable symptom was optic nueritis. That is where it all started for me.


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Old 08-24-2009, 04:37 PM #6
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Hi Momz!

My first episode was optic neuritis. I had all the symptoms you had with it except the pain.
After an LP, evoked potentials, a blood test that checked for 17 diseases, and an MRI, I was diagnosed with MS. It was way too easy!

There are a lot of folks here who have the same test results you have. It may not be showing on the MRI and in some of the tests, and still be doing subclinical damage. Only time will tell.

It sounds like you have been through a very long road here with your health. I hope you find some answers.
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