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testo.","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F141260\u002F920x1000\u002Fd623a52e6b\u002Fratgeber-hero-small-mobil.png",{},{"id":5698,"alt":5694,"name":46,"focus":46,"title":46,"source":46,"filename":5699,"copyright":46,"fieldtype":59,"meta_data":5700,"is_private":3,"is_external_url":3},15819415,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F141260\u002F1920x560\u002Fd41ddf1381\u002Fratgeber-hero-solid-small.png",{},"5xl","index,follow",[5704,5765,5843,5862,6042,6089,6124,6139,6460,6747,6778,6841,6944,7039,7063,7130,7141,7162],{"id":46,"_uid":5705,"body":5706,"images":5720,"headline":46,"text_ref":5721,"component":5757,"sub_title":5758,"margin_top":470,"cta_content":5759,"subline_ref":5760,"color_border":5761,"headline_tag":46,"in_container":3,"headline_look":5687,"text_placement":46,"headline_weight":187,"color_background":5763,"margin_top_mobile":311,"margin_top_desktop":311},"7450135e-1c20-44e8-a9a6-fec77b33d8b6",{"type":74,"content":5707},[5708],{"type":77,"content":5709},[5710,5712,5718],{"text":5711,"type":81},"Artikel wurde von ",{"text":5713,"type":81,"marks":5714},"Prof. Dr. Hans-Jürgen Grein",[5715],{"type":86,"attrs":5716},{"href":5717,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann-akademie.com\u002Ffielmann-akademie\u002Fdas-team\u002Fhans-juergen-grein\u002F",{"text":5719,"type":81}," geprüft",[],[5722],{"id":46,"_uid":5723,"body":5724,"component":220,"no_margin":3,"margin_top":470},"d34d2a83-8175-4f65-856c-f373103ada52",{"type":74,"content":5725},[5726,5738],{"type":77,"content":5727},[5728,5730,5736],{"text":5729,"type":81},"La neurite ottica, o infiammazione del nervo ottico, è una patologia neurologica complessa che può avere un impatto negativo sulla vista. In questo articolo esaminiamo i sintomi che permettono di ",{"text":5731,"type":81,"marks":5732},"riconoscere",[5733],{"type":138,"attrs":5734},{"color":5735},"var(--clrSquiggleHighlightTextColor,#000000)",{"text":5737,"type":81}," la neurite ottica, le sue cause e cosa si può fare per curarla.",{"type":77,"content":5739},[5740,5747],{"text":5741,"type":81,"marks":5742},"L'articolo è stato verificato dal ",[5743,5744],{"type":326},{"type":138,"attrs":5745},{"color":5746},"black",{"text":5748,"type":81,"marks":5749},"Prof. Dr. med. Hans-Jürgen Grein",[5750,5752,5753,5756],{"type":86,"attrs":5751},{"href":5717,"uuid":25,"anchor":25,"target":90,"linktype":147},{"type":326},{"type":138,"attrs":5754},{"color":5755},"var(--clrFieldRange,#000000)",{"type":959},"Paragraph","Bei der Sehnerventzündung, die medizinisch auch als Optikusneuritis bezeichnet wird, handelt es sich um eine komplexe neurologische Erkrankung, die sich negativ auf das Sehvermögen auswirken kann. In diesem Beitrag gehen wir darauf ein, an welchen Symptomen du die Sehnerventzündung erkennst, welche Ursachen sie hat und was du dagegen tun kannst. ",[],[],{"_uid":5762,"color":46,"plugin":66},"d292310b-c794-45cb-aa30-f7bfc96784e9",{"_uid":5764,"color":46,"plugin":66},"faec5ce5-4904-4fca-b16f-0fe032225700",{"id":46,"_uid":5766,"body":5767,"images":5775,"headline":46,"text_ref":5776,"component":5757,"sub_title":46,"margin_top":470,"cta_content":5837,"color_border":5838,"headline_tag":46,"in_container":4,"headline_look":5687,"text_placement":46,"headline_weight":187,"color_background":5840,"padding_vertical":46,"margin_top_mobile":311,"margin_top_desktop":311},"0b16e460-7ab1-4bbb-bf8b-1971c7f12374",{"type":74,"content":5768},[5769],{"type":77,"content":5770},[5771],{"text":5772,"type":81,"marks":5773},"Das Auftreten einer Optikusneuritis in Europa liegt bei 5 pro 100.000 Einwohner pro Jahr. Typischerweise sind junge Erwachsene im Alter von 20 bis 40 Jahren betroffen. ",[5774],{"type":326},[],[5777],{"id":46,"_uid":5778,"body":5779,"component":220,"no_margin":3,"margin_top":221},"10352fc0-5ee8-4f27-bb19-ea800a5b123c",{"type":74,"content":5780},[5781,5790],{"type":318,"attrs":5782,"content":5783},{"level":5627},[5784],{"text":5785,"type":81,"marks":5786},"Una panoramica della neurite ottica",[5787],{"type":138,"attrs":5788},{"color":5789},"#000000",{"type":5791,"content":5792},"bullet_list",[5793,5807,5813,5819,5825,5831],{"type":5794,"content":5795},"list_item",[5796],{"type":77,"content":5797},[5798,5800,5805],{"text":5799,"type":81},"La neurite ottica, o infiammazione del nervo ottico, è nota anche con il nome latino di neuritis ",{"text":5801,"type":81,"marks":5802},"nervi",[5803],{"type":138,"attrs":5804},{"color":5735},{"text":5806,"type":81}," optici. ",{"type":5794,"content":5808},[5809],{"type":77,"content":5810},[5811],{"text":5812,"type":81},"Si tratta di una malattia infiammatoria dell'occhio che colpisce il nervo ottico, compromettendo la trasmissione delle informazioni dall'occhio alla corteccia cerebrale. ",{"type":5794,"content":5814},[5815],{"type":77,"content":5816},[5817],{"text":5818,"type":81},"La neurite ottica è talvolta accompagnata da dolore oculare, visione offuscata, perdita dei colori e del contrasto e maggiore sensibilità all'abbagliamento. ",{"type":5794,"content":5820},[5821],{"type":77,"content":5822},[5823],{"text":5824,"type":81},"In molti casi è scatenata da malattie autoimmuni, ma le possibili cause sono numerose. ",{"type":5794,"content":5826},[5827],{"type":77,"content":5828},[5829],{"text":5830,"type":81},"Il trattamento della neurite ottica dipende dalla causa, ma di solito si ricorre al cortisone ed eventualmente agli antibiotici.",{"type":5794,"content":5832},[5833],{"type":77,"content":5834},[5835],{"text":5836,"type":81},"In molti casi, se trattata precocemente da un oculista o da un neurologo, la neurite ottica guarisce entro due-quattro settimane con un buon recupero della funzione visiva.",[],{"_uid":5839,"color":46,"plugin":66},"beb6a796-3a3a-41c6-b3e4-f460046b9b93",{"_uid":5841,"color":5842,"plugin":66},"d38147bf-d249-4ae8-beb0-d3308f61ca3d","#fce5cd",{"id":46,"_uid":5844,"body":5845,"images":5848,"headline":46,"text_ref":5849,"component":5757,"sub_title":46,"margin_top":470,"cta_content":5855,"color_border":5856,"headline_tag":46,"in_container":3,"headline_look":5687,"text_placement":46,"headline_weight":187,"color_background":5860,"margin_top_mobile":311,"margin_top_desktop":311},"d277cff0-57dc-4a4d-9a99-0eef07a6bed7",{"type":74,"content":5846},[5847],{"type":77},[],[5850],{"id":46,"_uid":5851,"body":5852,"component":220,"no_margin":3,"margin_top":221},"10f705ab-5a72-4443-8360-653dafe4b436",{"type":74,"content":5853},[5854],{"type":77},[],{"_uid":5857,"color":5858,"plugin":5859},"efcb1252-3c86-48ec-adea-f23041045e03","#ffffff","native-color-picker",{"_uid":5861,"color":5858,"plugin":5859},"6e9ff184-2e6d-44a8-9f11-1199471ff1a3",{"id":46,"_uid":5863,"body":5864,"images":5930,"headline":5931,"text_ref":5932,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6032,"color_border":6033,"headline_ref":6035,"headline_tag":181,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":6040,"margin_top_mobile":311,"margin_top_desktop":311},"f2017e80-8639-461f-b5d6-1d948d58fff7",{"type":74,"content":5865},[5866,5874,5882,5890,5898,5906,5914,5922],{"type":77,"content":5867},[5868],{"text":5869,"type":81,"marks":5870},"Was ist eine Sehnerventzündung?",[5871],{"type":86,"attrs":5872},{"href":5873,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#was-ist",{"type":77,"content":5875},[5876],{"text":5877,"type":81,"marks":5878},"Sehnerventzündung: Symptome",[5879],{"type":86,"attrs":5880},{"href":5881,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#symptome",{"type":77,"content":5883},[5884],{"text":5885,"type":81,"marks":5886},"Ursachen für die Sehnerventzündung",[5887],{"type":86,"attrs":5888},{"href":5889,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#ursachen",{"type":77,"content":5891},[5892],{"text":5893,"type":81,"marks":5894},"Idiopathische Sehnerventzündung",[5895],{"type":86,"attrs":5896},{"href":5897,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#idiopathische",{"type":77,"content":5899},[5900],{"text":5901,"type":81,"marks":5902},"Sehnerventzündung behandeln",[5903],{"type":86,"attrs":5904},{"href":5905,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#behandeln",{"type":77,"content":5907},[5908],{"text":5909,"type":81,"marks":5910},"Was tun bei einer Sehnerventzündung?",[5911],{"type":86,"attrs":5912},{"href":5913,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#was-tun",{"type":77,"content":5915},[5916],{"text":5917,"type":81,"marks":5918},"Fazit: Eine Sehnerventzündung erfordert eine individuelle Behandlung",[5919],{"type":86,"attrs":5920},{"href":5921,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#fazit",{"type":77,"content":5923},[5924],{"text":5925,"type":81,"marks":5926},"Häufige Fragen zur Sehnervenentzündung",[5927],{"type":86,"attrs":5928},{"href":5929,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.de\u002Fratgeber\u002Faugengesundheit\u002Fsehnerventzuendung\u002F#faq",[],"Inhalte",[5933],{"id":46,"_uid":5934,"body":5935,"component":220,"no_margin":3,"margin_top":221},"2f9f196a-108c-45da-8aef-129de440a681",{"type":74,"content":5936},[5937,5947,5957,5967,5977,5992,6002,6012,6022],{"type":77,"content":5938},[5939],{"text":5785,"type":81,"marks":5940},[5941,5944],{"type":86,"attrs":5942},{"href":5943,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#auf-einen-blick",{"type":138,"attrs":5945},{"color":5946},"rgb(0, 0, 0)",{"type":77,"content":5948},[5949],{"text":5950,"type":81,"marks":5951},"Cos'è la neurite ottica?",[5952,5955],{"type":86,"attrs":5953},{"href":5954,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#was-ist",{"type":138,"attrs":5956},{"color":5946},{"type":77,"content":5958},[5959],{"text":5960,"type":81,"marks":5961},"Neurite ottica: i sintomi",[5962,5965],{"type":86,"attrs":5963},{"href":5964,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#symptome",{"type":138,"attrs":5966},{"color":5946},{"type":77,"content":5968},[5969],{"text":5970,"type":81,"marks":5971},"Le cause della neurite ottica",[5972,5975],{"type":86,"attrs":5973},{"href":5974,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#ursachen",{"type":138,"attrs":5976},{"color":5946},{"type":77,"content":5978},[5979,5987],{"text":5980,"type":81,"marks":5981},"Neurite ottica idiopatica",[5982,5985],{"type":86,"attrs":5983},{"href":5984,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#idiopathisch",{"type":138,"attrs":5986},{"color":46},{"text":5988,"type":81,"marks":5989}," ",[5990],{"type":138,"attrs":5991},{"color":5946},{"type":77,"content":5993},[5994],{"text":5995,"type":81,"marks":5996},"Neurite ottica: come si cura?",[5997,6000],{"type":86,"attrs":5998},{"href":5999,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#behandlung",{"type":138,"attrs":6001},{"color":5946},{"type":77,"content":6003},[6004],{"text":6005,"type":81,"marks":6006},"Neurite ottica: cosa fare?",[6007,6010],{"type":86,"attrs":6008},{"href":6009,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#was-tun",{"type":138,"attrs":6011},{"color":5946},{"type":77,"content":6013},[6014],{"text":6015,"type":81,"marks":6016},"Conclusione: la neurite ottica richiede un trattamento personalizzato",[6017,6020],{"type":86,"attrs":6018},{"href":6019,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#fazit",{"type":138,"attrs":6021},{"color":5946},{"type":77,"content":6023},[6024],{"text":6025,"type":81,"marks":6026},"Domande frequenti sulla neurite ottica",[6027,6030],{"type":86,"attrs":6028},{"href":6029,"uuid":25,"anchor":25,"target":90,"linktype":147},"https:\u002F\u002Fwww.fielmann.it\u002Fguida\u002Fsalute-degli-occhi\u002Fneurite-ottica\u002F#faq",{"type":138,"attrs":6031},{"color":5946},[],{"_uid":6034,"color":5858,"plugin":5859},"bcff8913-448b-4bfa-bcdf-9c2354a0ab93",[6036],{"tag":181,"_uid":6037,"look":181,"text":6038,"color":6039,"weight":187,"component":188},"00906693-91a3-4bcf-b9c8-ef8baea555e5","Indice dei contenuti",{"color":46,"plugin":186},{"_uid":6041,"color":5858,"plugin":5859},"792c05a5-ccd7-4e71-ad0d-fb9239d99b96",{"id":6043,"_uid":6044,"body":6045,"images":6051,"headline":5869,"text_ref":6052,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6079,"color_border":6080,"headline_ref":6082,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":6087,"margin_top_mobile":311,"margin_top_desktop":311},"was-ist","e6f51146-1923-4177-8011-7e0d3ace805f",{"type":74,"content":6046},[6047],{"type":77,"content":6048},[6049],{"text":6050,"type":81},"Bei einer Sehnerventzündung, auch Optikusneuritis oder Neuritis nervi optici genannt, kommt es zu einer Entzündung des Nervs, der die Sehinformation vom Auge ins Gehirn vermittelt. Der Sehnerv besteht aus über einer Million einzelner Nervenfasern, die von der Netzhaut starten und im blinden Fleck das Auge nach hinten verlassen. Durch die Entzündung im Sehnerv kann es zu einer plötzlichen und deutlichen Verschlechterung beim Sehen kommen. In manchen Fällen tritt die Sehnerventzündung auch im Zusammenspiel mit anderen neurologischen Erkrankungen auf. Sofern die Therapie rechtzeitig begonnen wird, lässt sich eine Sehnerventzündung gut mit Medikamenten behandeln. ",[],[6053],{"id":46,"_uid":6054,"body":6055,"component":220,"no_margin":3,"margin_top":221},"b3d80e2b-c29d-4cc8-82d2-e3a473da6f6e",{"type":74,"content":6056},[6057],{"type":77,"content":6058},[6059,6064,6069,6074],{"text":6060,"type":81,"marks":6061},"La neurite ottica, denominata scientificamente neuritis nervi optici, è un'infiammazione del nervo che trasmette le informazioni visive dall'occhio al cervello. Il nervo ottico è costituito da oltre un milione di singole fibre nervose che partono dalla retina e lasciano l'occhio nella parte posteriore, il punto cieco. L'infiammazione del nervo ottico può portare a un improvviso e significativo ",[6062],{"type":138,"attrs":6063},{"color":46},{"text":6065,"type":81,"marks":6066},"deterioramento",[6067],{"type":138,"attrs":6068},{"color":5735},{"text":6070,"type":81,"marks":6071}," della vista. In alcuni casi si manifesta in concomitanza con altre malattie neurologiche. Se si inizia la terapia per tempo, la neurite ottica può essere efficacemente trattata con i farmaci.",[6072],{"type":138,"attrs":6073},{"color":46},{"text":5988,"type":81,"marks":6075},[6076],{"type":138,"attrs":6077},{"color":6078},"rgba(0, 0, 0, 0.847)",[],{"_uid":6081,"color":46,"plugin":66},"7bc8a348-c7b1-45bd-90e4-af71a08cc585",[6083],{"tag":181,"_uid":6084,"look":181,"text":5950,"color":6085,"weight":187,"component":188},"90948a4b-3731-47c2-9d62-41c86470d658",{"_uid":6086,"color":46,"plugin":66},"ae8490e1-e8b5-492f-9f90-25ccdef36551",{"_uid":6088,"color":46,"plugin":66},"1b66a801-26a1-4468-9a53-be230f9bf557",{"id":46,"_uid":6090,"body":6091,"images":6098,"headline":46,"text_ref":6099,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6118,"color_border":6119,"headline_tag":46,"in_container":4,"headline_look":5687,"text_placement":46,"headline_weight":187,"color_background":6121,"padding_vertical":46,"margin_top_mobile":311,"margin_top_desktop":311},"4687392d-5434-4b2b-8077-8fbf161d7363",{"type":74,"content":6092},[6093],{"type":77,"content":6094},[6095],{"text":5772,"type":81,"marks":6096},[6097],{"type":326},[],[6100],{"id":46,"_uid":6101,"body":6102,"component":220,"no_margin":3,"margin_top":221},"7cb16318-5482-44b7-aa6f-b48b83944260",{"type":74,"content":6103},[6104],{"type":77,"content":6105},[6106,6113],{"text":6107,"type":81,"marks":6108},"L'incidenza della neurite ottica in Europa è di 5 persone su 100.000 ogni anno. Colpisce tipicamente i giovani di età compresa tra i 20 e i 40 anni.",[6109,6111],{"type":6110},"italic",{"type":138,"attrs":6112},{"color":46},{"text":5988,"type":81,"marks":6114},[6115],{"type":138,"attrs":6116},{"color":6117},"rgb(33, 33, 33)",[],{"_uid":6120,"color":46,"plugin":66},"d9741fe2-6a57-470a-9d96-a32f67c3a59c",{"_uid":6122,"color":6123,"plugin":66},"88f34d81-b9ba-49a4-81cd-1c5cb364f845","#f3f3f3",{"id":46,"_uid":6125,"body":6126,"images":6129,"headline":46,"text_ref":6130,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6136,"color_border":6137,"headline_tag":46,"in_container":3,"headline_look":5687,"text_placement":46,"headline_weight":187,"color_background":6138,"margin_top_mobile":311,"margin_top_desktop":311},"e4473491-9ef9-455f-bb47-483d48e64e50",{"type":74,"content":6127},[6128],{"type":77},[],[6131],{"id":46,"_uid":6132,"body":6133,"component":220,"no_margin":3,"margin_top":221},"a5d40d93-e9ec-41c5-af1f-4ef1a1852b33",{"type":74,"content":6134},[6135],{"type":77},[],{"_uid":5857,"color":5858,"plugin":5859},{"_uid":5861,"color":5858,"plugin":5859},{"id":6140,"_uid":6141,"body":6142,"images":6233,"headline":5877,"text_ref":6234,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6450,"color_border":6451,"headline_ref":6453,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":6458,"margin_top_mobile":311,"margin_top_desktop":311},"symptome","2c4d7ca4-2b40-43e6-8582-511373a9d912",{"type":74,"content":6143},[6144,6148,6152,6157,6161,6166,6170,6178,6183,6187,6194,6202,6206,6211,6215,6220,6224,6229],{"type":77,"content":6145},[6146],{"text":6147,"type":81},"In vielen Fällen treten die Symptome bei einer Sehnerventzündung plötzlich auf. So fällt Betroffenen rasch auf, dass etwas nicht stimmt. Die Entzündung und die damit einhergehenden Sehstörungen entstehen dabei meist einseitig und nur selten beidseitig. Je nach Schwere der Entzündung treten die Symptome mitunter nur gemäßigt auf.  ",{"type":77,"content":6149},[6150],{"text":6151,"type":81},"Eine Vielzahl an Symptomen kann auf eine Sehnerventzündung hindeuten. Da einige dieser Symptome jedoch auch mit anderen Erkrankungen einhergehen können, ist eine Abklärung beim Augenarzt schnellstmöglich angeraten.  ",{"type":318,"attrs":6153,"content":6154},{"level":462},[6155],{"text":6156,"type":81},"Augenärztliche Untersuchung",{"type":77,"content":6158},[6159],{"text":6160,"type":81},"Neben der Sehschärfe prüft der Augenarzt die Farbwahrnehmung, die Pupillenreaktion und das Gesichtsfeld. Die Netzhaut und der blinde Fleck werden genau inspiziert. Liegt der Entzündungsherd jedoch komplett hinter dem Auge, kann der Befund unauffällig sein. Zur weiteren Abklärung der Ursachen wird oft auch ein MRT durchgeführt und es werden der Hausarzt, Neurologen oder andere Fachärzte eingebunden.  ",{"type":318,"attrs":6162,"content":6163},{"level":462},[6164],{"text":6165,"type":81},"Verschwommenes Sehen ",{"type":77,"content":6167},[6168],{"text":6169,"type":81},"Wer unter einer Sehnerventzündung leidet, bemerkt häufig eine rasche Verschlechterung des Sehvermögens innerhalb von Stunden bis Tagen. Dabei erscheint das Sichtfeld unscharf und verschwommen, wie durch einen Nebel. Konturen können nicht mehr klar abgegrenzt werden. ",{"type":77,"content":6171},[6172],{"type":6173,"attrs":6174},"image",{"id":6175,"alt":46,"src":6176,"title":46,"source":46,"copyright":46,"meta_data":6177},16285946,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F141260\u002F1400x534\u002Fcdafb2b242\u002Fvogel_unscharf_bild.jpg",{},{"type":318,"attrs":6179,"content":6180},{"level":462},[6181],{"text":6182,"type":81},"Farbverlust beim Sehen",{"type":77,"content":6184},[6185],{"text":6186,"type":81},"Ein Symptom, das bei der Sehnerventzündung sehr häufig vorkommt, ist der plötzliche Farbverlust beim Sehen. Typisch ist eine Rotentsättigung: Auf dem betroffenen Auge erscheinen Rottöne deutlich blasser als auf dem Gegenauge. Aber auch andere Farben können anders als üblich erscheinen. ",{"type":77,"content":6188},[6189],{"type":6173,"attrs":6190},{"id":6191,"alt":46,"src":6192,"title":46,"source":46,"copyright":46,"meta_data":6193},16285947,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F141260\u002F1400x534\u002F1e7fbab26b\u002Ftomaten_farbverlust_grau.jpg",{},{"type":318,"attrs":6195,"content":6196},{"level":462},[6197],{"text":6198,"type":81,"marks":6199},"Gesichtsfeldverluste",[6200],{"type":138,"attrs":6201},{"color":5946},{"type":77,"content":6203},[6204],{"text":6205,"type":81},"Im Rahmen von Sehnerventzündungen können unterschiedliche Gesichtsfeldausfälle entstehen. Ist die Mitte des Gesichtsfeldes und damit die Stelle des schärfsten Sehens betroffen, kommt es auf diesem Auge zu deutlichem Verlust der Sehschärfe. Ein solcher Ausfall wird als Zentralskotom bezeichnet. Die Ausfälle können aber auch peripher im Gesichtsfeld liegen, oder das ganze Gesichtsfeld diffus betreffen. Die daraus resultierenden Einschränkungen hängen stark von der Größe und der Ausprägung des Skotoms ab.  ",{"type":318,"attrs":6207,"content":6208},{"level":462},[6209],{"text":6210,"type":81},"Schmerzen besonders bei Augenbewegungen",{"type":77,"content":6212},[6213],{"text":6214,"type":81},"Viele Betroffene klagen über leichte Augenschmerzen , die sich bei Augenbewegungen verstärken. Eine Auslenkung der Augen wird deshalb oft vermieden.  ",{"type":318,"attrs":6216,"content":6217},{"level":462},[6218],{"text":6219,"type":81},"Blendungsempfindlichkeit",{"type":77,"content":6221},[6222],{"text":6223,"type":81},"Bei einem Teil der Betroffenen mit Sehnerventzündung sind die Augen vermehrt licht- und blendungsempfindlich. Insbesondere bei hellem Licht, zum Beispiel durch die Sonne, treten die Beschwerden auf und erschweren das Sehen erheblich. ",{"type":318,"attrs":6225,"content":6226},{"level":462},[6227],{"text":6228,"type":81},"Kontrastverlust",{"type":77,"content":6230},[6231],{"text":6232,"type":81},"Kontraste können bei einer Sehnerventzündung nur undeutlich wahrgenommen werden. Die Unterschiede zwischen hellen und dunklen Bereichen sind nur noch schlecht zu erkennen. Manche Patienten klagen auch über plötzliche Lichterscheinungen, wie Flimmern oder Blitze. ",[],[6235],{"id":46,"_uid":6236,"body":6237,"component":220,"no_margin":3,"margin_top":221},"2bf2f70a-45da-49dd-aa86-104df4e7916f",{"type":74,"content":6238},[6239,6256,6263,6276,6287,6295,6316,6324,6345,6353,6374,6382,6402,6410,6431,6439],{"type":77,"content":6240},[6241,6246,6251],{"text":6242,"type":81,"marks":6243},"Dal momento che, in molti casi, i sintomi della neurite ottica compaiono improvvisamente, le ",[6244],{"type":138,"attrs":6245},{"color":46},{"text":6247,"type":81,"marks":6248},"persone",[6249],{"type":138,"attrs":6250},{"color":5735},{"text":6252,"type":81,"marks":6253}," colpite si accorgono subito che c'è qualcosa che non va. L'infiammazione e i disturbi visivi associati si manifestano di solito su un solo lato, raramente su entrambi i lati. A seconda della gravità dell'infiammazione, i sintomi possono essere abbastanza lievi.  ",[6254],{"type":138,"attrs":6255},{"color":46},{"type":77,"content":6257},[6258],{"text":6259,"type":81,"marks":6260},"Svariati sintomi possono far pensare a una neurite ottica ma, dal momento che alcuni di essi possono essere associati anche ad altre patologie, è consigliabile consultare un oculista il prima possibile.  ",[6261],{"type":138,"attrs":6262},{"color":46},{"type":318,"attrs":6264,"content":6265},{"level":462},[6266,6271],{"text":6267,"type":81,"marks":6268},"Visita ",[6269],{"type":138,"attrs":6270},{"color":6078},{"text":6272,"type":81,"marks":6273},"oculistica",[6274],{"type":138,"attrs":6275},{"color":5735},{"type":77,"content":6277},[6278,6283],{"text":6279,"type":81,"marks":6280},"Oltre all'acuità visiva, l'oculista controlla la percezione dei colori, la reazione della pupilla e il campo visivo, ispezionando in dettaglio la retina e il punto cieco. Tuttavia, se il centro dell'infiammazione è completamente dietro l'occhio, questi esami possono dare esito negativo. Per chiarire definitivamente le cause, spesso viene effettuata una risonanza magnetica coinvolgendo il medico di famiglia, il neurologo o altri specialisti. ",[6281],{"type":138,"attrs":6282},{"color":46},{"text":5988,"type":81,"marks":6284},[6285],{"type":138,"attrs":6286},{"color":6078},{"type":318,"attrs":6288,"content":6289},{"level":462},[6290],{"text":6291,"type":81,"marks":6292},"Visione appannata",[6293],{"type":138,"attrs":6294},{"color":5946},{"type":77,"content":6296},[6297,6302,6307,6312],{"text":6298,"type":81,"marks":6299},"Chi soffre di neurite ottica spesso nota un rapido deterioramento della vista nel giro di ore o giorni. Il campo visivo appare sfocato e appannato, come se si guardasse nella nebbia. I contorni non sono più ",[6300],{"type":138,"attrs":6301},{"color":46},{"text":6303,"type":81,"marks":6304},"chiaramente",[6305],{"type":138,"attrs":6306},{"color":5735},{"text":6308,"type":81,"marks":6309}," delineabili.",[6310],{"type":138,"attrs":6311},{"color":46},{"text":5988,"type":81,"marks":6313},[6314],{"type":138,"attrs":6315},{"color":6078},{"type":318,"attrs":6317,"content":6318},{"level":462},[6319],{"text":6320,"type":81,"marks":6321},"Perdita di colore nella visione",[6322],{"type":138,"attrs":6323},{"color":5946},{"type":77,"content":6325},[6326,6331,6336,6341],{"text":6327,"type":81,"marks":6328},"Un sintomo molto comune nella neurite ottica è l'improvvisa perdita di colore della visione. La cosa più tipica è la desaturazione del rosso: le tonalità del rosso appaiono significativamente più pallide nell'occhio colpito rispetto a quello sano. Ma anche altri colori possono ",[6329],{"type":138,"attrs":6330},{"color":46},{"text":6332,"type":81,"marks":6333},"apparire",[6334],{"type":138,"attrs":6335},{"color":5735},{"text":6337,"type":81,"marks":6338}," diversi dal solito.",[6339],{"type":138,"attrs":6340},{"color":46},{"text":5988,"type":81,"marks":6342},[6343],{"type":138,"attrs":6344},{"color":6078},{"type":318,"attrs":6346,"content":6347},{"level":462},[6348],{"text":6349,"type":81,"marks":6350},"Perdita del campo visivo",[6351],{"type":138,"attrs":6352},{"color":5946},{"type":77,"content":6354},[6355,6360,6365,6370],{"text":6356,"type":81,"marks":6357},"La neurite ",[6358],{"type":138,"attrs":6359},{"color":46},{"text":6361,"type":81,"marks":6362},"ottica",[6363],{"type":138,"attrs":6364},{"color":5735},{"text":6366,"type":81,"marks":6367}," può portare a diversi tipi di perdita del campo visivo. Se viene colpito il centro del campo visivo e quindi il punto di visione più nitido, nell'occhio interessato si riscontra una perdita significativa dell'acuità visiva. Tale perdita si definisce scotoma centrale. La perdita, però, può anche essere localizzata nella periferia del campo visivo o interessare diffusamente il campo visivo. Le limitazioni derivanti dipendono fortemente dalla dimensione e dalla gravità dello scotoma. ",[6368],{"type":138,"attrs":6369},{"color":46},{"text":5988,"type":81,"marks":6371},[6372],{"type":138,"attrs":6373},{"color":6078},{"type":318,"attrs":6375,"content":6376},{"level":462},[6377],{"text":6378,"type":81,"marks":6379},"Dolore soprattutto nei movimenti oculari",[6380],{"type":138,"attrs":6381},{"color":5946},{"type":77,"content":6383},[6384,6389,6393,6398],{"text":6385,"type":81,"marks":6386},"Molte ",[6387],{"type":138,"attrs":6388},{"color":46},{"text":6247,"type":81,"marks":6390},[6391],{"type":138,"attrs":6392},{"color":5735},{"text":6394,"type":81,"marks":6395}," colpite lamentano un lieve dolore agli occhi, che si intensifica con i movimenti oculari. Per questo, spesso si evita di spostare lo sguardo. ",[6396],{"type":138,"attrs":6397},{"color":46},{"text":5988,"type":81,"marks":6399},[6400],{"type":138,"attrs":6401},{"color":6078},{"type":318,"attrs":6403,"content":6404},{"level":462},[6405],{"text":6406,"type":81,"marks":6407},"Sensibilità all'abbagliamento",[6408],{"type":138,"attrs":6409},{"color":5946},{"type":77,"content":6411},[6412,6417,6422,6427],{"text":6413,"type":81,"marks":6414},"Alcune persone affette da neurite ottica lamentano una forte sensibilità alla luce e all'abbagliamento. I ",[6415],{"type":138,"attrs":6416},{"color":46},{"text":6418,"type":81,"marks":6419},"sintomi",[6420],{"type":138,"attrs":6421},{"color":5735},{"text":6423,"type":81,"marks":6424}," si manifestano soprattutto in presenza di luce intensa, ad esempio quella del sole, e rendono la visione molto più difficile.",[6425],{"type":138,"attrs":6426},{"color":46},{"text":5988,"type":81,"marks":6428},[6429],{"type":138,"attrs":6430},{"color":6078},{"type":318,"attrs":6432,"content":6433},{"level":462},[6434],{"text":6435,"type":81,"marks":6436},"Perdita di contrasto",[6437],{"type":138,"attrs":6438},{"color":5946},{"type":77,"content":6440},[6441,6446],{"text":6442,"type":81,"marks":6443},"In caso di neurite ottica, i contrasti vengono percepiti in modo indistinto. Le differenze tra aree chiare e scure sono difficili da riconoscere. Alcuni pazienti riferiscono anche fenomeni di luce improvvisa, come sfarfallii o lampi.",[6444],{"type":138,"attrs":6445},{"color":46},{"text":5988,"type":81,"marks":6447},[6448],{"type":138,"attrs":6449},{"color":6078},[],{"_uid":6452,"color":46,"plugin":66},"09f07364-c02a-4b59-a717-eb9f84b921b3",[6454],{"tag":181,"_uid":6455,"look":181,"text":5960,"color":6456,"weight":187,"component":188},"0105c8ce-8a0a-4d91-911c-f377a196b7e0",{"_uid":6457,"color":46,"plugin":66},"72c79499-6965-47e0-8612-f31d661c443f",{"_uid":6459,"color":46,"plugin":66},"45c32adc-df5d-4d07-8ae3-17873ad8d4dc",{"id":6461,"_uid":6462,"body":6463,"images":6550,"headline":6551,"text_ref":6552,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6737,"color_border":6738,"headline_ref":6740,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":6745,"margin_top_mobile":311,"margin_top_desktop":311},"ursachen","63ce51c3-f3bb-40d5-bf81-de46f795fdad",{"type":74,"content":6464},[6465,6469,6474,6478,6482,6487,6491,6496,6500,6505,6509,6514,6518],{"type":77,"content":6466},[6467],{"text":6468,"type":81},"Sehnerventzündungen werden in typische und atypische Formen eingeteilt. Typische Sehnerventzündungen treten alleine (idiopathisch) oder im Zusammenhang mit Multipler Sklerose auf. Bei selteneren atypischen Formen können andere Autoimmunerkrankungen oder Infektionen der Auslöser sein.  ",{"type":318,"attrs":6470,"content":6471},{"level":462},[6472],{"text":6473,"type":81},"Autoimmunerkrankungen",{"type":77,"content":6475},[6476],{"text":6477,"type":81},"Autoimmunerkrankungen sind der häufigste Auslöser für eine Sehnerventzündung. In vielen Fällen leiden die Betroffenen an Multipler Sklerose. Durch die Grunderkrankung greift das Immunsystem die Isolierschicht der Nervenfasern an, sodass die Übermittlung der Nervensignale an die Großhirnrinde beeinträchtigt wird. So kommt es zu einer Entzündung des Sehnervs.  ",{"type":77,"content":6479},[6480],{"text":6481,"type":81},"Bei einer Sehnerventzündung muss immer auch nach auslösenden Grunderkrankungen gesucht werden. Betroffene werden deshalb vom Augenarzt auch zu anderen Fachärzten überwiesen, um den Verdacht auf Multiple Sklerose, oder eine andere Autoimmunerkrankung auszuschließen. ",{"type":318,"attrs":6483,"content":6484},{"level":462},[6485],{"text":6486,"type":81},"Nebenwirkung von Medikamenten ",{"type":77,"content":6488},[6489],{"text":6490,"type":81},"Mitunter können auch Nebenwirkungen von Medikamenten zu einer Entzündung des Sehnervs führen. Beobachtet wurde das Auftreten unter anderem im Zusammenhang mit Tamoxifen, einem Medikament gegen Brustkrebs oder Ethambutol, das bei Tuberkulose verordnet wird. ",{"type":318,"attrs":6492,"content":6493},{"level":462},[6494],{"text":6495,"type":81},"Infektionen",{"type":77,"content":6497},[6498],{"text":6499,"type":81},"Auch eine direkte oder indirekte Infektion mit bestimmten Erregern kommt als mögliche Ursache für eine Sehnerventzündung in Frage, beispielsweise bei Borreliose, Tuberkulose oder Syphilis.  ",{"type":318,"attrs":6501,"content":6502},{"level":462},[6503],{"text":6504,"type":81},"Vergiftungen",{"type":77,"content":6506},[6507],{"text":6508,"type":81},"Mitunter ist die Sehnerventzündung die direkte Folge einer Vergiftung mit Methanol, Quecksilber oder Blei. Diese Giftstoffe schädigen u.a. die Myelinscheiden der Nervenfasern und können auf diese Weise zu einer Sehnerventzündung führen. Auch Alkohol und Nikotin haben schädigendes Potential für den Sehnerv. Meist sind beide Augen betroffen. ",{"type":318,"attrs":6510,"content":6511},{"level":462},[6512],{"text":6513,"type":81},"Weitere Ursachen für eine Sehnerventzündung ",{"type":77,"content":6515},[6516],{"text":6517,"type":81},"Als mögliche Ursachen einer Sehnerventzündung kommen vereinzelt auch andere Faktoren in Frage: ",{"type":5791,"content":6519},[6520,6530,6540],{"type":5794,"content":6521},[6522],{"type":77,"content":6523},[6524,6528],{"text":6525,"type":81,"marks":6526},"Tumorerkrankung",[6527],{"type":326},{"text":6529,"type":81},": Wächst in der Nähe des Sehnervs ein Tumor, der auf den Nerv drückt, können die Symptome einer Sehnerventzündung ähneln. ",{"type":5794,"content":6531},[6532],{"type":77,"content":6533},[6534,6538],{"text":6535,"type":81,"marks":6536},"Virusinfektion",[6537],{"type":326},{"text":6539,"type":81},": Von einigen Viren, wie das Herpes-simplex-Virus, das Varizella-Zoster-Virus oder auch das SARS-CoV-2 wird eine Beteiligung bei Sehnerventzündung berichtet. ",{"type":5794,"content":6541},[6542],{"type":77,"content":6543},[6544,6548],{"text":6545,"type":81,"marks":6546},"Ausbreitung anderer Entzündungen",[6547],{"type":326},{"text":6549,"type":81},": Entzündungen am Auge oder in den Nasennebenhöhlen können unbehandelt „weiterwandern“ und so auch zu einer Entzündung am Sehnerv führen. ",[],"Ursachen für die Sehnerventzündung ",[6553],{"id":46,"_uid":6554,"body":6555,"component":220,"no_margin":3,"margin_top":221},"d7d4749d-561f-44b2-b15a-f282aec3ae15",{"type":74,"content":6556},[6557,6578,6586,6593,6600,6608,6619,6627,6638,6650,6661,6669,6676,6703,6720],{"type":77,"content":6558},[6559,6564,6569,6574],{"text":6560,"type":81,"marks":6561},"La neurite ottica si distingue in forme tipiche e atipiche. La neurite ottica tipica si manifesta da sola (",[6562],{"type":138,"attrs":6563},{"color":46},{"text":6565,"type":81,"marks":6566},"idiopatica",[6567],{"type":138,"attrs":6568},{"color":5735},{"text":6570,"type":81,"marks":6571},") o in associazione alla sclerosi multipla. Nelle forme atipiche più rare, la causa scatenante può essere da ricercarsi in altre infezioni o malattie autoimmuni. ",[6572],{"type":138,"attrs":6573},{"color":46},{"text":5988,"type":81,"marks":6575},[6576],{"type":138,"attrs":6577},{"color":6078},{"type":318,"attrs":6579,"content":6580},{"level":462},[6581],{"text":6582,"type":81,"marks":6583},"Malattie autoimmuni",[6584],{"type":138,"attrs":6585},{"color":5946},{"type":77,"content":6587},[6588],{"text":6589,"type":81,"marks":6590},"Le malattie autoimmuni sono la causa più comune della neurite ottica. In molti casi, le persone colpite soffrono di sclerosi multipla. La malattia sottostante porta il sistema immunitario ad attaccare lo strato isolante delle fibre nervose, compromettendo la trasmissione dei segnali nervosi alla corteccia cerebrale. Questo causa l'infiammazione del nervo ottico.  ",[6591],{"type":138,"attrs":6592},{"color":46},{"type":77,"content":6594},[6595],{"text":6596,"type":81,"marks":6597},"In caso di neurite ottica, è sempre necessario indagare le patologie scatenanti. I pazienti vengono quindi indirizzati dall'oculista anche ad altri specialisti per escludere il sospetto di sclerosi multipla o di un'altra malattia autoimmune. ",[6598],{"type":138,"attrs":6599},{"color":46},{"type":318,"attrs":6601,"content":6602},{"level":462},[6603],{"text":6604,"type":81,"marks":6605},"Effetti collaterali dei farmaci",[6606],{"type":138,"attrs":6607},{"color":5946},{"type":77,"content":6609},[6610,6615],{"text":6611,"type":81,"marks":6612},"Talvolta anche gli effetti collaterali dei farmaci possono causare un'infiammazione del nervo ottico. Ciò è stato osservato, ad esempio, in relazione al tamoxifene, un farmaco per il cancro al seno, o all'etambutolo, prescritto per la tubercolosi.",[6613],{"type":138,"attrs":6614},{"color":46},{"text":5988,"type":81,"marks":6616},[6617],{"type":138,"attrs":6618},{"color":6078},{"type":318,"attrs":6620,"content":6621},{"level":462},[6622],{"text":6623,"type":81,"marks":6624},"Infezioni",[6625],{"type":138,"attrs":6626},{"color":5946},{"type":77,"content":6628},[6629,6634],{"text":6630,"type":81,"marks":6631},"Anche un'infezione diretta o indiretta da parte di agenti patogeni è tra le possibili cause della neurite ottica: alcuni esempi sono la malattia di Lyme, la tubercolosi e la sifilide. ",[6632],{"type":138,"attrs":6633},{"color":46},{"text":5988,"type":81,"marks":6635},[6636],{"type":138,"attrs":6637},{"color":6078},{"type":318,"attrs":6639,"content":6640},{"level":462},[6641,6646],{"text":6642,"type":81,"marks":6643},"Avvelenamenti",[6644],{"type":138,"attrs":6645},{"color":5946},{"text":5988,"type":81,"marks":6647},[6648],{"type":138,"attrs":6649},{"color":6078},{"type":77,"content":6651},[6652,6657],{"text":6653,"type":81,"marks":6654},"Talvolta la neurite ottica è il risultato diretto di un avvelenamento da metanolo, mercurio o piombo. Danneggiando - tra le altre cose - le guaine mieliniche delle fibre nervose, queste tossine possono quindi portare alla neurite ottica. Anche l'alcol e la nicotina sono potenzialmente nocivi per il nervo ottico. Di solito la neurite colpisce entrambi gli occhi.",[6655],{"type":138,"attrs":6656},{"color":46},{"text":5988,"type":81,"marks":6658},[6659],{"type":138,"attrs":6660},{"color":6078},{"type":318,"attrs":6662,"content":6663},{"level":462},[6664],{"text":6665,"type":81,"marks":6666},"Altre cause della neurite ottica",[6667],{"type":138,"attrs":6668},{"color":5946},{"type":77,"content":6670},[6671],{"text":6672,"type":81,"marks":6673},"In alcuni casi, anche altri fattori possono causare la neurite ottica: ",[6674],{"type":138,"attrs":6675},{"color":46},{"type":5791,"content":6677},[6678],{"type":5794,"content":6679},[6680],{"type":77,"content":6681},[6682,6688,6693,6698],{"text":6683,"type":81,"marks":6684},"Tumore",[6685,6686],{"type":326},{"type":138,"attrs":6687},{"color":46},{"text":6689,"type":81,"marks":6690},": se un tumore cresce vicino al nervo ottico e preme su di esso, i sintomi possono ",[6691],{"type":138,"attrs":6692},{"color":46},{"text":6694,"type":81,"marks":6695},"assomigliare",[6696],{"type":138,"attrs":6697},{"color":5735},{"text":6699,"type":81,"marks":6700}," a quelli della neurite ottica. ",[6701],{"type":138,"attrs":6702},{"color":46},{"type":5791,"content":6704},[6705],{"type":5794,"content":6706},[6707],{"type":77,"content":6708},[6709,6715],{"text":6710,"type":81,"marks":6711},"Infezione virale",[6712,6713],{"type":326},{"type":138,"attrs":6714},{"color":46},{"text":6716,"type":81,"marks":6717},": è stato riscontrato che alcuni virus, come il virus dell'herpes simplex, il virus della varicella zoster o il SARS-CoV-2, possono essere coinvolti nella neurite ottica. ",[6718],{"type":138,"attrs":6719},{"color":46},{"type":5791,"content":6721},[6722],{"type":5794,"content":6723},[6724],{"type":77,"content":6725},[6726,6732],{"text":6727,"type":81,"marks":6728},"Diffusione di altre infiammazioni",[6729,6730],{"type":326},{"type":138,"attrs":6731},{"color":46},{"text":6733,"type":81,"marks":6734},": l'infiammazione dell'occhio o dei seni paranasali, se non trattata, può \"allargarsi\" portando anche all'infiammazione del nervo ottico. ",[6735],{"type":138,"attrs":6736},{"color":46},[],{"_uid":6739,"color":46,"plugin":66},"ff73343a-29fc-4d66-aacf-2f9d7f0a7dd3",[6741],{"tag":181,"_uid":6742,"look":181,"text":5970,"color":6743,"weight":187,"component":188},"2379be78-f9a9-47b9-9824-e89159e98b0a",{"_uid":6744,"color":46,"plugin":66},"ab706b36-37cb-4dc9-8c38-d16adecfab8b",{"_uid":6746,"color":46,"plugin":66},"6ed2a2be-a09e-49d6-a86d-722d3d9f8fff",{"id":6748,"_uid":6749,"body":6750,"images":6756,"headline":6757,"text_ref":6758,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6767,"color_border":6768,"headline_ref":6770,"headline_tag":46,"in_container":3,"headline_look":181,"text_placement":46,"headline_weight":187,"color_background":6776,"margin_top_mobile":311,"margin_top_desktop":311},"idiopathisch","94dc9df6-f5b0-4b5c-a937-2827ce1f7cf6",{"type":74,"content":6751},[6752],{"type":77,"content":6753},[6754],{"text":6755,"type":81},"Gar nicht selten bleibt der Auslöser der Sehnerventzündung ungeklärt. Sind alle bekannten Ursachen ausgeschlossen, wird von einer idiopathischen Sehnerventzündung gesprochen. Es wird angenommen, dass es sich in diesen Fällen um eine unbekannte Autoimmunreaktion oder eine subklinische Infektion handelt, die aber nicht nachweisbar ist. In einigen Fällen wird die Ursache erst später offenbar, so dass sich das Attribut „idiopathisch“ noch ändern kann. Insbesondere kann sich in den folgenden 15 Jahren bei etwa einem Viertel der Betroffenen trotz unauffälligem MRT noch eine MS entwickeln.  ",[],"Idiopathische Sehnerventzündung ",[6759],{"id":46,"_uid":6760,"body":6761,"component":220,"no_margin":3,"margin_top":221},"1f7399c6-ffd2-4ca2-a153-7fee671c9c7d",{"type":74,"content":6762},[6763],{"type":77,"content":6764},[6765],{"text":6766,"type":81},"Non è raro che la neurite ottica rimanga priva di una spiegazione. Se tutte le cause note sono state escluse, si parla di neurite ottica idiopatica. Si presume che in questi casi si tratti di una reazione autoimmune sconosciuta o di un'infezione subclinica non rilevabile. In alcuni casi, la causa diventa evidente solo in un secondo momento, per cui l'attributo \"idiopatica\" può cambiare. In particolare, nei 15 anni successivi in circa un quarto delle persone colpite può sviluppare la sclerosi multipla nonostante una risonanza magnetica negativa.",[],{"_uid":6769,"color":46,"plugin":66},"1e331780-ba0e-4356-9d03-9af6b3e8281c",[6771],{"tag":181,"_uid":6772,"look":181,"text":6773,"color":6774,"weight":187,"component":188},"f777706b-103f-4921-8ad1-9d5bafee943d","Neurite ottica idiopatica ",{"_uid":6775,"color":46,"plugin":66},"722350ca-f129-4e05-9855-5ce5c2f9db5c",{"_uid":6777,"color":46,"plugin":66},"528eae9b-d9c2-4ba6-a758-1087bac25f8a",{"id":6779,"_uid":6780,"body":6781,"images":6795,"headline":5901,"text_ref":6796,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6832,"color_border":6833,"headline_ref":6835,"headline_tag":181,"in_container":3,"headline_look":46,"text_placement":46,"headline_weight":187,"color_background":6839,"margin_top_mobile":311,"margin_top_desktop":311},"behandlung","9a6aa46d-b0a4-42dc-8240-c3370d52a6d5",{"type":74,"content":6782},[6783,6787,6791],{"type":77,"content":6784},[6785],{"text":6786,"type":81},"Die typische Sehnerventzündung hat eine gute Prognose und auch eine Selbstheilungstendenz. Zur Beschleunigung der Abheilung wird oft mit einer kurzen, aber hoch dosierten entzündungshemmenden Kortisongabe  behandelt. Dadurch klingt die Entzündung ab und die Sehbeschwerden reduzieren sich zügig. In der Regel klingt eine Sehnerventzündung innerhalb von etwa zwei bis vier Wochen ab. Die Sehleistung kann sich auch in den drauffolgenden Monaten noch verbessern. Bei etwa einem Drittel der erstmals Betroffenen kann es innerhalb von 10 Jahren erneut zu einer Sehnerventzündung kommen.   ",{"type":77,"content":6788},[6789],{"text":6790,"type":81},"Initial kann die Behandlung mit Kortison für 3 bis 5 Tage über eine Infusion und anschließend für 10-14 Tage zum Ausschleichen in Form von Tabletten erfolgen. Für die ersten Tage der Behandlung kann zur Überwachung der Nebenwirkungen und weiteren Durchführung der Diagnostik auch ein stationärer Aufenthalt im Krankenhaus sinnvoll sein.  ",{"type":77,"content":6792},[6793],{"text":6794,"type":81},"Atypische Sehnerventzündungen sind oft schwerwiegender im Verlauf und müssen abhängig von der Entwicklung therapiert werden. Wurde die Sehnerventzündung durch bakterielle Erreger hervorgerufen, wird die Kortisontherapie zusätzlich mit einer Antibiose kombiniert. Eine Reihe von immunmodulierenden Medikamenten können in Erwägung gezogen werden. Begleitende Erkrankungen müssen fachärztlich betreut werden. ",[],[6797],{"id":46,"_uid":6798,"body":6799,"component":220,"no_margin":3,"margin_top":221},"1f5881c8-68f8-4e84-95fb-b263b7c5f1d1",{"type":74,"content":6800},[6801,6818,6825],{"type":77,"content":6802},[6803,6808,6813],{"text":6804,"type":81,"marks":6805},"La neurite ottica tipica ha una buona prognosi e tende a guarire da sola. Per accelerare il processo di ",[6806],{"type":138,"attrs":6807},{"color":46},{"text":6809,"type":81,"marks":6810},"guarigione",[6811],{"type":138,"attrs":6812},{"color":5735},{"text":6814,"type":81,"marks":6815},", viene spesso prescritta una terapia antinfiammatoria breve ma intensa a base di cortisone. In tal modo l'infiammazione si attenua e i sintomi visivi si riducono rapidamente. Di norma, la neurite ottica si attenua nel giro di due-quattro settimane, mentre le prestazioni visive possono migliorare anche nell'arco di mesi. In circa un terzo delle persone colpite per la prima volta, la neurite ottica si ripresenta entro 10 anni.  ",[6816],{"type":138,"attrs":6817},{"color":46},{"type":77,"content":6819},[6820],{"text":6821,"type":81,"marks":6822},"Inizialmente, per un trattamento bilanciato il cortisone può essere somministrato per 3-5 giorni tramite infusione e poi per 10-14 giorni sotto forma di compresse. Nei primi giorni di trattamento, per monitorare gli effetti collaterali ed effettuare gli accertamenti diagnostici del caso, può essere consigliabile il ricovero in ospedale.  ",[6823],{"type":138,"attrs":6824},{"color":46},{"type":77,"content":6826},[6827],{"text":6828,"type":81,"marks":6829},"La neurite ottica atipica ha spesso un decorso più grave e deve essere trattata a seconda di come evolve. Se la neurite causata da agenti patogeni batterici, il trattamento con cortisone viene combinato con una terapia antibiotica. Possono essere presi in considerazione diversi farmaci immunomodulanti. Le malattie concomitanti devono essere trattate da uno specialista. ",[6830],{"type":138,"attrs":6831},{"color":46},[],{"_uid":6834,"color":46,"plugin":66},"5a569068-423e-4cbf-a4e5-9d56b64b50b1",[6836],{"tag":181,"_uid":6837,"look":183,"text":5995,"color":6838,"weight":187,"component":188},"bbc00481-cb02-4fb3-97da-594b5fe43763",{"color":46,"plugin":186},{"_uid":6840,"color":46,"plugin":66},"ed43956d-ad5c-40d6-bda0-baab699ffff4",{"id":6842,"_uid":6843,"body":6844,"images":6883,"headline":5909,"text_ref":6884,"component":5757,"sub_title":46,"margin_top":470,"cta_content":6935,"color_border":6936,"headline_ref":6938,"headline_tag":181,"in_container":3,"headline_look":46,"text_placement":46,"headline_weight":187,"color_background":6942,"margin_top_mobile":311,"margin_top_desktop":311},"was-tun","c596d82d-6fec-4966-b70f-4f0913cbabe9",{"type":74,"content":6845},[6846,6850,6855,6859,6864,6878,6882],{"type":77,"content":6847},[6848],{"text":6849,"type":81},"Eine Sehnerventzündung wird durch den behandelnden Augenarzt i.d.R. mit Kortison behandelt, damit die Entzündung rasch abklingt und die hervorgerufenen Symptome nachlassen. In der Regel heilt die Optikusneuritis dadurch innerhalb weniger Wochen aus. Neurologen, Hausärzte oder Internisten können in die weitere Diagnostik und Behandlung eingebunden werden. Zusätzlich kannst du einiges tun, um deine Augen zu entlasten. ",{"type":318,"attrs":6851,"content":6852},{"level":462},[6853],{"text":6854,"type":81},"Beobachtung und Geduld",{"type":77,"content":6856},[6857],{"text":6858,"type":81},"Wenn du dich in ärztlicher Behandlung befindest, heilen die Symptome der Sehnerventzündung meist innerhalb von zwei bis vier Wochen aus. Während dieser Zeit wirst du immer wieder kleine Fortschritte bemerken, dein Sehvermögen kehrt langsam zurück. Erwarte aber nicht zu viel und bleibe geduldig. ",{"type":318,"attrs":6860,"content":6861},{"level":462},[6862],{"text":6863,"type":81},"Augen-Check-up bei Fielmann",{"type":77,"content":6865},[6866,6868,6876],{"text":6867,"type":81},"Möchtest du unabhängig von einer akuten Erkrankung generell mehr zu deiner Augengesundheit erfahren, dann ist ein ",{"text":6869,"type":81,"marks":6870},"Augen-Check-Up",[6871],{"type":86,"attrs":6872},{"href":6873,"uuid":6874,"anchor":25,"target":90,"linktype":91,"original_href":6875},"\u002Faugen-check-up\u002F","7732cfd9-a3f2-4f10-9395-622bd984ec52","\u002Faugen-check-up",{"text":6877,"type":81}," bei Fielmann sinnvoll. Bei diesem professionellen Augen-Screening, das der Vorsorge dient, sollen Veränderungen am Augenhintergrund möglichst frühzeitig erkannt werden. Die Ergebnisse werden im Anschluss durch Augenärzte geprüft und an dich übermittelt. ",{"type":77,"content":6879},[6880],{"text":6881,"type":81},"Der Augen-Check-Up dient allerdings nur zur Vorsorge deiner Augengesundheit. Bei akuten Beschwerden und für eine Diagnosestellung mit anschließender Behandlung solltest du umgehend einen Augenarzt aufsuchen.  ",{"type":77},[],[6885],{"id":46,"_uid":6886,"body":6887,"component":220,"no_margin":3,"margin_top":221},"516ab730-0736-4747-a324-7da8ab134357",{"type":74,"content":6888},[6889,6910,6918],{"type":77,"content":6890},[6891,6896,6901,6906],{"text":6892,"type":81,"marks":6893},"La neurite ottica viene solitamente trattata dall'oculista curante con cortisone, in modo che l'infiammazione si riduca rapidamente e i sintomi si attenuino. Di norma, la neurite ottica guarisce in poche settimane. Nella diagnosi e nel ",[6894],{"type":138,"attrs":6895},{"color":46},{"text":6897,"type":81,"marks":6898},"trattamento",[6899],{"type":138,"attrs":6900},{"color":5735},{"text":6902,"type":81,"marks":6903}," possono essere coinvolti neurologi, medici di base o internisti. Ma ci sono alcuni accorgimenti da poter prendere per alleviare i fastidi agli occhi.",[6904],{"type":138,"attrs":6905},{"color":46},{"text":5988,"type":81,"marks":6907},[6908],{"type":138,"attrs":6909},{"color":6078},{"type":318,"attrs":6911,"content":6912},{"level":462},[6913],{"text":6914,"type":81,"marks":6915},"Osservazione e pazienza",[6916],{"type":138,"attrs":6917},{"color":5946},{"type":77,"content":6919},[6920,6925,6930],{"text":6921,"type":81,"marks":6922},"Se viene prescritto un trattamento medico, i sintomi della neurite ottica guariscono in genere entro due-quattro ",[6923],{"type":138,"attrs":6924},{"color":46},{"text":6926,"type":81,"marks":6927},"settimane",[6928],{"type":138,"attrs":6929},{"color":5735},{"text":6931,"type":81,"marks":6932},". Durante questo lasso di tempo si notano piccoli miglioramenti e la vista torna lentamente alla normalità. Ma non aspettatevi troppo e rimanete pazienti. ",[6933],{"type":138,"attrs":6934},{"color":46},[],{"_uid":6937,"color":46,"plugin":66},"70238e5f-312c-409e-82a7-2a3b7ce16ab5",[6939],{"tag":181,"_uid":6940,"look":183,"text":6005,"color":6941,"weight":187,"component":188},"a1ac536c-233a-44d2-8d10-7a41da37a1e4",{"color":46,"plugin":186},{"_uid":6943,"color":46,"plugin":66},"a8e91e4e-addd-4767-827a-d4100d24e22a",{"id":6945,"_uid":6946,"body":6947,"images":6979,"headline":5917,"text_ref":6980,"component":5757,"sub_title":46,"margin_top":470,"cta_content":7030,"color_border":7031,"headline_ref":7033,"headline_tag":181,"in_container":3,"headline_look":46,"text_placement":46,"headline_weight":187,"color_background":7037,"margin_top_mobile":311,"margin_top_desktop":311},"fazit","9962d9c5-c670-4749-9682-f5472a6d3431",{"type":74,"content":6948},[6949,6953],{"type":77,"content":6950},[6951],{"text":6952,"type":81},"Viele Ursachen kommen als Auslöser einer Sehnerventzündung in Frage. Je nach Grunderkrankung sollte diese hausärztlich oder durch weitere Fachärzte therapiert werden, um langfristig das erneute Auftreten der Optikusneuritis zu verhindern. Parallel dazu ist eine augenärztliche Therapie mit Kortison und ggf. Antibiotika notwendig, um die akute Entzündung zu behandeln.  ",{"type":77,"content":6954},[6955,6957,6977],{"text":6956,"type":81},"Möchtest du auch unabhängig von einer akuten Erkrankung deine Augengesundheit im Blick behalten, lohnt sich ein regelmäßiger Augen-Check-Up bei Fielmann. Dazu kannst du einfach einen Termin in einer ",{"text":6958,"type":81,"marks":6959},"Fielmann Niederlassung",[6960],{"type":86,"attrs":6961},{"href":334,"uuid":333,"anchor":25,"target":90,"linktype":91,"story":6962,"original_href":341},{"id":336,"uuid":333,"slug":337,"full_slug":334,"path":338,"parent_id":95,"name":339,"is_folder":3,"published":4,"is_startpage":3,"position":340,"real_path":341,"alternates":6963,"_stopResolving":4},[6964,6965,6966,6967,6968,6969,6970,6971,6972,6973,6974,6975,6976],{"path":344,"name":25,"lang":102,"published":25},{"path":344,"name":25,"lang":104,"published":25},{"path":344,"name":25,"lang":106,"published":25},{"path":344,"name":25,"lang":108,"published":25},{"path":344,"name":25,"lang":110,"published":25},{"path":344,"name":25,"lang":112,"published":25},{"path":351,"name":25,"lang":115,"published":4},{"path":344,"name":25,"lang":117,"published":25},{"path":344,"name":25,"lang":119,"published":25},{"path":344,"name":25,"lang":121,"published":25},{"path":344,"name":25,"lang":123,"published":25},{"path":344,"name":25,"lang":125,"published":25},{"path":344,"name":25,"lang":127,"published":25},{"text":6978,"type":81}," in deiner Nähe buchen. 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