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Determinants of Pain in 101 Eyes With Optic Neuritis

Frederick E. Lepore, MD

Arch Neurol. 1991;48(7):748-749.

Abstract
• In 101 eyes with either anterior or retro-bulbar optic neuropathy of ischemic or inflammatory origin, ocular pain occurred significantly more often with retrobulbar optic neuropathy. The association of pain with posterior optic nerve lesions supports Whitnall's hypothesis that the pain of optic nerve inflammation is caused by traction of the origins of the superior and medial recti on the optic nerve sheath at the orbital apex. Eye pain reflected neither severity nor origin of optic neuropathy.

Author Affiliations
From the Department of Neurology, University of Medicine and Dentistry of New Jersey/Robert Wood Johnson Medical School, New Brunswick.

Footnotes
Accepted for publication January 29, 1991.

Reprints not available.

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ABSTRACT