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New research · Ophthalmology
Indian journal of ophthalmology · 2d
StudyIndian journal of ophthalmology · 2026

Current landscape of pediatric optic neuritis management in India: A clinical practice survey.

Adeline S Lasrado, Ramesh Kekunnaya, Snehal Ganatra, Virender Sachdeva
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OphthalmologyStudy

Nearly all surveyed ophthalmologists treated pediatric optic neuritis with IV steroids

Current landscape of pediatric optic neuritis management in India: A clinical practice survey.

Adeline S Lasrado … Virender Sachdeva
Indian journal of ophthalmology · 2026
Purpose

To understand the practice patterns in the management of pediatric optic neuritis in India and detect the gaps in evaluation and management.

Methods

An online survey-based study questionnaire was shared among ophthalmologists in the last quarter of 2024.

94%
Results
94%
94% of surveyed ophthalmologists in India used IV methylprednisolone to treat pediatric optic neuritis
More results

Of these, 45% had a formal neuro-ophthalmology training and 42% had more than 5 years of experience in managing pediatric optic neuritis.

Visual fields (50%) and optical coherence tomography (45%) were frequently requested ocular investigations.

More results

Magnetic resonance imaging brain and spine with contrast and fat-suppressed sequence was recommended by 23% of respondents, serological workup in 91%, and cerebrospinal fluid analysis in 17%.

34% ophthalmologists advised intravenous methylprednisolone dosing at 30 mg/kg.

“
Conclusion

This survey highlights the variability in diagnostic testing and management practices of pediatric optic neuritis among ophthalmologists in India underscoring the need for developing, guiding, and following standardized practice guidelines.

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