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Inicio Medicina Clínica (English Edition) Multiple sclerosis in ophthalmology: Beyond optic neuritis
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Vol. 155. Issue 2.
Pages 70-76 (July 2020)
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Vol. 155. Issue 2.
Pages 70-76 (July 2020)
Review
Multiple sclerosis in ophthalmology: Beyond optic neuritis
La esclerosis múltiple en oftalmología: más allá de la neuritis óptica
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4
Rafel Alcubierrea,
Corresponding author
, Bernardo F. Sánchez-Dalmaub, Silvia Muñozc
a Departamento de Oftalmología, Hospital Moisès Broggi Sant Joan Despi, Consorci Sanitari Integral, Barcelona, Spain
b Institut Clínic d’Oftalmologia (ICOF), Hospital Clínic, Barcelona, Spain
c Departamento de Oftalmología, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Abstract

Disorders of the visual system are one of the main features of multiple sclerosis (MS), and have a great impact on the quality of life of patients.

Although optic neuritis is the most frequent manifestation, there are other ophthalmological processes not related to neuritis, a knowledge of which is very useful in the management of patients with MS. These abnormalities are described, grouped into impairments of the afferent pathway, efferent pathway, or upper cerebral areas. Additionally, the main ophthalmological side effects of the drugs currently used in the control of MS are described.

Keywords:
Multiple sclerosis
Optic neuropathy
Uveitis
Diplopia
Nystagmus
Treatment
Resumen

Las alteraciones del sistema visual son uno de los principales rasgos de la esclerosis múltiple (EM), y conllevan un gran impacto en la calidad de vida de los pacientes.

Aunque la neuritis óptica es la manifestación más frecuente, existen otros procesos oftalmológicos no relacionados con la neuritis, cuyo conocimiento es de gran utilidad en el manejo de los pacientes con EM. Se describen estas anomalías agrupadas en alteraciones de vía aferente, de vía eferente, y de áreas superiores cerebrales. Adicionalmente, se describen los principales efectos secundarios oftalmológicos de los fármacos actualmente empleados en el control de la EM.

Palabras clave:
Esclerosis múltiple
Neuropatía óptica
Uveítis
Diplopía
Nistagmo
Tratamiento

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